Online Application Form

Application cum Personal Particulars Form for Character & Antecedents Verification

Applying for


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Company name and address where NOC/ certificate is submitted
Particulars of places where the applicant has resides during last 10 years
Sr. No Address From To Pincode
Present occupation / service ( joining date, post, office address & telephone)
Have you been arrested / prosecuted? if yes, give case details ( C.R. No. & P.Stn )
Have you been active in politics? if yes, give details of the party / organisation.
Is there any criminal offence registered against you?
Name, Address & Signature of two persons in your locality who knows you.
Name & Address Mobile No.
I hereby solemnly state that information provided above by me is true and correct.
Upload your following documents :

Upload Your 2nd Photo

Upload Your Addharcard

Upload Your Ration card

Upload Your Character Certificate

Upload Your Dr Fitness Certificate

Upload Your Education Certificate

Upload Your Sports/NCC & Other Certificate (any 1)

Upload Your Home Member Permission Letter

Upload Your Work Experience Certificate