APPLICATION FORM FOR INSERVICE CANDIDATES FOR CONVERSION AS SGCT(M) YEAR 2009 *** 1. Rank/ Name of official: _________________________________ 2. Unit ./ PID No. : _________________________________ 3. Present Place of posting: _________________________________ 4. Parent Zone : _________________________________ 5. Fathers Name : _________________________ 6. a) Permanent Address: i) Village :______________________________ ii) Mohalla :______________________________ Space for photograph to be attested by concerned Head of the Unit iii) Tehsil : _____________________________ iv) District : _____________________________ Tel. No.______________ Mobile No. _____________ b) Present address for correspondence: _______________________________ ____________________________________________ 7. Date of birth (in Christian Era) : _____________________________________ 8. Date of appointment in Police Deptt:_____________________________________ 9. Date of promotion, if any :______________________________________ 10. Training Course undergone : ______________________________________ 11. Educational Qualification : ______________________________________ 12. Technical Qualification : _______________________________________ 13. I hereby solemnly declare that the above particulars are correct to the best of my knowledge and belief. In case of any of the above averments is found to be incorrect, I shall be liable for disqualification for conversion as SGCT(M). Signature of the Applicant. Countersigned by Head of Office
