Application Form for Vigilance Clearence Form No. _____________VOK/VOJ/CENTRAL Note: Please Enclose Registered Self Addressed Envelop with the Application Form. PASSPORT SIZED 1. Name of the Applicant:________________________________ ATTESTED (in Full Capital) PHOTOGRAPH 2. Father's Guardian's Name :_______________________________ 3. Present Place of Posting :__________________________________ 4. Designation : ____________________________________________ 5. Permanent Address :_______________________________________ 6. Educational Qualification : _____________________________________ 7. Service Particulars Since First Appointment : S. No Designation Place of Posting From Month/Year To Month/Year No :-Dated :-Signature of the Applicant Place: ________________________ Dated :________________________ Signature /Seal :__________________ Counter Signature by the Head of the Office Name : ________________________ Designation : _____________________
