Ordnance parachute factory kanpur - printing of hardcopy application (hca) __

Direct Recruitment Process : OPF/DR/2014A
(Advertisement No. davp 10201/11/1226/1415 EN 35/13 Dated 29-11-2014)
APPLICATION FOR THE POST OF Lower Division Clerk
HARDCOPY APPLICATION (HCA)
STEP-3
PRINTING OF HCA (i.e. HCA-A AND HCA-B)
BEFORE SENDING AS PRESCRIBED, ALL THE PAPERS OF THE HCA (INCLUDING ATTACHED DOCUMENTS) MUST
BE PROPERLY TAGGED.
Print HCA (i.e. HCA-A and HCA-B)
HARDCOPY APPLICATION PART-A (HCA-A)
पंजीकरण संया/Registration Number 133409
पंजीकरण क ितिथ/Date of Registration (dd-mm-yyyy) 20-12-2014
नाम/Name RISHABH BHALLA
FOR OFFICE USE ONLY
INSTRUCTIONS FURTHER TO THE PROVISIONS/INSTRUCTIONS IN THE ADVERTISEMENT AND
ON THE OTHER LINKS/PAGES IN THE PORTAL
(1) HCA MUST BE PRINTED IN COLOUR ON LEGAL SIZE (21.6 cm x 35.6 cm) WHITE PAPER ONLY. BLACK-AND-WHITE PRINTING IS
NOT ALLOWED. PRINTING ON PAPER OF ANY OTHER SIZE OR COLOUR IS NOT ALLOWED. EACH PAGE MUST BE PRINTED ON
SEPARATE PAPERS ONLY. BACK-TO-BACK PRINTING IS NOT ALLOWED
(2) ALL MARKINGS, WRITINGS AND SIGNATURES ON HCA MUST BE DONE USING BLACK BALL POINT PEN ONLY. USE OF ANY
OTHER COLOUR BALL POINT PEN OR ANY OTHER KIND OF PEN OR PENCIL IS NOT ALLOWED. THE LEFT HAND THUMB IMPRESSIONS
ON HCA MUST BE IN BLACK INK ONLY. USE OF ANY OTHER COLOUR INK FOR LEFT HAND THUMB IMPRESSION IS NOT ALLOWED.
(3) ON HCA, WHERE PRESCRIBED/REQUIRED (EXCEPT THE GIVEN PARAGRAPH ON PAGE 9 WHICH IS TO BE WRITTEN IN THE
CANDIDATE'S RUNNING HANDWRITING), ENGLISH CAPITAL LETTERS ONLY AND ENGLISH NUMERALS ONLY ARE TO BE USED FOR
WRITING.
(4) ALL PAGES OF HCA ARE TO BE LEFT HAND THUMB IMPRESSED, SIGNED AND DATED BY THE CANDIDATE AT ALL
PRESCRIBED/REQUIRED SPACES. ALL MARKINGS, WRITINGS, LEFT HAND THUMB IMPRESSIONS AND SIGNATURES ON HCA MUST
BE CLEAR AND LEGIBLE/VISIBLE.
(5) WHILE MARKING, WRITING, LEFT HAND THUMB IMPRESSING AND SIGNING ON HCA, NO
CUTTING/OVERWRITING/RUBBING/SCRATCHING/APPLYING CORRECTION FLUID, ETC IS ALLOWED. NO OTHER
MARKING/WRITING EXCEPT AS PRESCRIBED/REQUIRED, IS TO BE DONE ON ANY OF THE PAGES OF THE HCA.
(6) ON PAGE 2 OF HCA, IN THE BOX BY THE SIDE OF THE SCANNED IMAGE OF YOUR PHOTOGRAPH, YOUR PASSPORT SIZE (51 mm
X 51 mm) COLOUR PHOTOGRAPH IS TO BE PASTED. AFTER PASTING OF THE PHOTOGRAPH, YOU MUST SIGN ON THE PHOTOGRAPH
IN SUCH A WAY THAT YOUR SIGNATURE IS PARTLY ON THE PHOTOGRAPH AND PARTLY ON THE PAPER. THE PHOTOGRAPH IS NOT
TO BE PINNED/CLIPPED/STAPPLED/TAGGED.
(7) YOUR PASTED PHOTOGRAPH MUST BE AS PER THE PROVISIONS GIVEN IN THE ADVERTISEMENT.
(8) ON PAGE 2 OF HCA, IN THE BOX BY THE SIDE OF THE SCANNED IMAGE OF YOUR LEFT HAND THUMB IMPRESSION, YOU HAVE
TO PUT YOUR LEFT HAND THUMB IMPRESSION.
(9) YOUR LEFT HAND THUMB IMPRESSION MUST BE AS PER THE PROVISIONS GIVEN IN THE ADVERTISEMENT.
(10) ON PAGE 2 OF HCA, IN THE BOX BY THE SIDE OF THE SCANNED IMAGE OF YOUR SIGNATURE, YOU HAVE TO SIGN.
(11) YOUR SIGNATURE MUST BE AS PER THE PROVISIONS GIVEN IN THE ADVERTISEMENT.
(12) SCANNED IMAGES OF YOUR PHOTOGRAPH, LEFT HAND THUMB IMPRESSION AND SIGNATURE MUST BE THE SAME AS YOUR
PHOTOGRAPH, LEFT HAND THUMB IMPRESSION AND SIGNATURE, AS THE CASE MAY BE, IN THE RESPECTIVE BOXES AND IN ALL
OTHER PRESCRIBED/REQUIRED SPACES. THESE THINGS MUST BE AS PER THE PROVISIONS GIVEN IN THE ADVERTISEMENT.

अ यथ केबाएंहाथ केअंगूठेका िनशान /
Candidate's Left Hand Thumb Impression
अ यथ का ह ता र /
Candidate's Signature
Continued..Page 2

HARDCOPY APPLICATION PART-A (HCA-A) CONTINUES
पद/Post Lower Division Clerk
फोटो ाफ, बाएंहाथ केअंगूठेकेिनशान और ह ता र क इमेज और फोटो ाफ को
िचपकाना, बाय हाथ केअंगूठेका िनशान लगाना और ह ता र करना /
Images of Photograph, Left Hand Thumb Impression and
Signature and Pasting of Photograph, Putting Left Hand Thumb
Impression and Signing
Paste Your Photograph in the above Box and
Sign the Photograph as prescribed
Put Your Left Hand Thumb Impression in the
above Box
Sign in the above Box
Continued..Page 3

वैय क ववरण/Personal Details
अ यथ का पूरा नाम/Candidate's Full Name (As per 10th/High School/ Matriculation
Certificate) (Do not abbreviate any part of the Name) (Give ONLY ONE space between any
two parts of the Name)
RISHABH BHALLA
पता का पूरा नाम/Father's Full Name (Do not Prefix Shri/Mr./Dr./Late etc.)
(Do not abbreviate any part of the Name) (Give ONLY ONE space between any two parts of
the Name)
ANIL KUMAR BHALLA
माता का पूरा नाम/Mother's Full Name (Do not Prefix Smt./Mrs./Dr./Late etc.)
(Do not abbreviate any part of the Name) (Give ONLY ONE space between any two parts of
the Name)
NIRMAL BHALLA
ज म ितिथ/Date Of Birth (As per 10th/High School/Matriculation Certificate) 14-10-1994
िलंग/Sex MALE
वैवा हक थित/Marital Status UNMARRIED
नाग रकता/Citizenship INDIAN
पहचान िच ह/Identification Mark MARK ON LEFT CHEEK
ईमेल आईड /Email ID rishabhbhalla1122@gmail.com
मोबाइल फोन न बर (न बर केपहले'0' (शूय ) लगाय)/Mobile Phone Number
(Prefix '0' (Zero) before Number)
09045879255
धम/Religion HINDU
ेणी/Category UR
िल खत पर ा हेतुभाषा वक प/Language Option for Written Examination/Test ENGLISH
टंकण पर ा हेतुभाषा वक प/Language Option for Typing Test ENGLISH
या आप शार रक वकलांग ह/Whether You are Physically Handicapped NO
या आप भूतपूव सैिनक ह /Whether You are Ex-Serviceman NO
या आप कह ंसेवारत ह/Are You in Service anywhere NO
प ाचार हेतुपता(अ यथ का नाम, जला, रा य/संघ े, पन न िलख)/Address for Correspondence
(Don't write Candidate's Name,District, State/UT, PIN)
97/111 MEHANDI MOHALLA
KANKAR KHERA MEERUT CANTT
जला/District MEERUT
रा य/State UTTAR PRADESH
पन/PIN 250001
िनकटतम रेलवेटेशन/Nearest Railway Station MEERUT CANTT
थाई पता (अ यथ का नाम, जला, रा य/संघ े, पन न िलख)/Permanent Address
(Do not write Candidate's Name, District, State/UT and PIN)
97/111 MEHANDI MOHALLA
KANKAR KHERA MEERUT CANTT
जला/District MEERUT
रा य/संघ े/State/UT UTTAR PRADESH
पन/PIN 250001
आप कस ेसेह/Area to which you belong URBAN
अ यथ केबाएंहाथ केअंगूठेका िनशान/
अ यथ का ह ता र/
Continued..Page 4

शै क यो यता ववरण/Educational Qualification Details
शै क यो यता/Educational Qualification 12th Class
बोड/यूनीविसट का नाम/Name of Board/University UTTAR PRADESH BOARD
उ ीण करनेका वष/Year of passing 2011
आवेदन शुक ववरण/Application Fees Details
भा.पो.आ./ ड. ा./बकस चेक संया/IPO/DD/BC Number 84G644119
भा.पो.आ./ ड. ा./बकस चेक ितिथ/IPO/DD/BC Date (dd-mm-yyyy) 20-12-2014
भा.पो.आ./ ड. ा./बकस चेक रािश/IPO/DD/BC Amount 50
Continued..Page 5

घोषणा/DECLARATION
1. I declare that I have carefully read and thoroughly understood all the provisions given in the Advertisement and in the
Website/Portal and I have complied with all the provisions.
2. I declare that I have fully satisfied myself that I actually fulfill all the eligibility criteria prescribed for the above Post, for
which I am personally responsible. I understand that if it is found at any time that I do not fulfill any eligibility criteria
prescribed for the above Post, my Candidature shall automatically stand cancelled.
3. I declare that I have filled-in all the Details and have uploaded all the Images and have pasted my Photograph, have put
my Left Hand Thumb Impression and have signed properly, completely, correctly and truly in OLA-A, OLA-B and HCA-A, as the
case may be, and that I have not concealed or suppressed any information pertaining to me; for which I am personally
responsible. I understand that if it is found at any time that any of these things, is
incomplete/incorrect/wrong/misleading/false, my Candidature shall automatically stand cancelled.
4. I declare that all the filled-in Details and all the uploaded Images, Photograph, Left Hand Thumb Impression and Signature
in OLA-A, OLA-B and HCA-A, as the case may be, are mine only, for which I am personally responsible. I understand that if it is
found at any time that any of these things, is not mine, my Candidature shall automatically stand cancelled.
5. I declare that in future i.e. before, during and after the Selection Process for the above Post and also for the entire duration
of this Recruitment Process, I shall comply with and abide by all the provisions given in the Advertisement and in the
Website/Portal and also all the provisions including instructions, etc that will be given/prescribed subsequently.
6. I declare that I shall not resort to/indulge in impersonation, shall not use unfair means, shall not bring in any
influence/pressure including political influence/pressure and shall not entertain/encourage any unscrupulous elements including
touts and job racketeers before, during and after the Selection Process for the above Post and also for the entire duration of
this Recruitment Process. I understand that if it is found at any time that I have resorted to/indulged in impersonation or I
have used unfair means or I have brought in any influence/pressure including political influence/pressure or I have
entertained/encouraged any unscrupulous elements including touts and job racketeers, my Candidature shall automatically
stand cancelled.
7. I declare that I shall not bring book, printed material, written material, etc at/in the Venue of any Stage of the Selection
Process. I understand that if it is found that I have brought or I am in possession of any of these items inside the Venue of
any Stage of the Selection Process, my Candidature shall automatically stand cancelled.
8. I declare that I shall not bring Calculator, Smart Watch, Mobile Phone, SIM Card, Scanner device, Pager, ipod, MP3/MP4, etc
players, Pen drive/Flash drive/Data Storage device, Data transmission device including earphone/microphone or any electronic
device/gadget, etc at/in the Venue of any Stage of the Selection Process. I understand that if it is found that I have brought or
I am in possession of any of these items inside the Venue of any Stage of the Selection Process, my Candidature shall
automatically stand cancelled.
(इससेआगेक घोषणा एचसीए-बी म है/A Further DECLARATION is in HCA-B)
दनाँक /Date (dd-mm-yyyy)
Continued..Page 6

HARDCOPY APPLICATION (HCA) CONTINUES
HARDCOPY APPLICATION PART-B (HCA-B)
STEP-4
ATTACHING DOCUMENTS WITH HCA-B
INSTRUCTIONS FURTHER TO THE PROVISIONS/INSTRUCTIONS IN THE ADVERTISEMENT AND
ON THE OTHER LINKS/PAGES IN THE PORTAL
(1) THE FOLLOWING INSTRUCTIONS ARE IN CONTINUATION OF THE INSTRUCTIONS IN HCA-A.
(2) ON HCA-B, MARKINGS OR WRITINGS, AS THE CASE MAY BE, ARE TO BE DONE ON PAGE 7 AT ALL PRESCRIBED/REQUIRED
SPACES. ARE TO BE MADE BY THE CANDIDATE.
(3) ON PAGE 7, IN THE FIRST BOX AGAINST THE NAME OF EACH DOCUMENT, EITHER TICK (√) IF THAT DOCUMENT IS BEING
ATTACHED, OR CROSS (X) IF THAT DOCUMENT IS NOT BEING ATTACHED.
(4 ON PAGE 7, IN THE SECOND BOX AGAINST THE NAME OF EACH DOCUMENT EXCEPT IPO/DD/BC, PAGE NUMBER OF THE
RESPECTIVE DOCUMENTS IS TO BE WRITTEN. THE PAGE NUMBERS OF ALL DOCUMENTS SHALL BE IN CONTINUITY WITHOUT ANY
BREAK. FOR EXAMPLE, THIS PAGE IS PAGE 6, THE NEXT PAGE CONTAINING THE LIST OF DOCUMENTS IS PAGE 7, THE FURTHER NEXT
PAGE CONTAINING THE DECLARATIONS BY OBC(NCL) CANDIDATES AND XSM CANDIDATES IS PAGE 8 AND THE STILL FURTHER
NEXT PAGE CONTAINING HANDWRITING SPECIMEN IS PAGE 9. THE DOCUMENTS TO BE ATTACHED THERAFTER SHALL BE PAGE 10,
PAGE 11 AND SO ON SO FORTH.
(5) ON PAGE 7, NO BOX IS TO BE KEPT BLANK.
(6) ON PAGE 7, FOR YOUR CONVENIENCE, TICK MARK AND PAGE NUMBER FOR FIRST TWO DOCUMENTS HAVE ALREADY BEEN
MARKED/WRITTEN.
(7) ON PAGE 7, IF ANY DOCUMENT IS NOT BEING ATTACHED i.e. IN THE FIRST BOX AGAINST A DOCUMENT, 'X' HAS BEEN WRITTEN,
THEN IN THE SECOND BOX AGAINST THAT DOCUMENT, A DASH (-) IS TO BE WRITTEN.
(8) ON PAGE 7, IF ANY DOCUMENT CONTAINS MORE THAN ONE PAGES, THEN ITS PAGE NUMBERS ARE TO BE WRITTEN SHOWING
THE FIRST PAGE NUMBER AND THE LAST PAGE NUMBER OF THAT DOCUMENT SEPARATED BY A DASH (-).
(9) ALL ATTACHED DOCUMENTS (EXCEPT NOC AND IPO/DD/BC) ARE TO BE COPIES OF THE RESPECTIVE ORIGINAL DOCUMENTS.
(10) THE NOC AND IPO/DD/BC ARE TO BE ATTACHED IN ORIGINAL ONLY.
(11) PAGE NUMBER, REGISTRATION NUMBER, NAME OF POST AND NAME OF CANDIDATE ARE TO BE WRITTEN BY THE CANDIDATE
ON ALL ATTACHED DOCUMENTS (EXCEPT IPO/DD/BC) ON THE TOP OF EACH DOCUMENT. THEREAFTER, EACH DOCUMENT (IF A
DOCUMENT CONSISTS OF MORE THAN PAGES, THEN EACH PAGE OF THAT DOCUMENT) IS TO BE SELF CERTIFIED BY THE CANDIDATE
ON THE BOTTOM OF THAT DOCUMENT AS PER PRESCRIBED PROVISIONS.
(12) 'SELF CERTIFIED' MEANS THAT THE CANDIDATE SHALL WRITE 'SELF CERTIFIED' (IN ENGLISH CAPITAL LETTERS ONLY) AT THE
BOTTOM OF THE CONCERND DOCUMENT AND THEN SHALL SIGN WITH DATE. THE DATE MUST BE ON OR AFTER THE PUBLICATION
DATE.
(13) REGARDING IPO/DD/BC, THE PROVISIONS/INSTRUCTIONS GIVEN IN THE ADVERTISEMENT ARE TO BE SCRUPULOUSLY
FOLLOWED.
(14) THEN, PAGE NUMBER, REGISTRATION NUMBER, NAME OF POST AND NAME OF CANDIDATE ARE TO BE WRITTEN BY THE
CANDIDATE IN THE AVAILABLE EMPTY SPACE ON THE BACK OF EACH LEAF OF IPO/DD/BC. THEREAFTER, EACH LEAF OF
IPO/DD/BC IS TO BE SIGNED AND DATED BY THE CANDIDATE ON THE BACK THEREOF BELOW THE BEFOREMENTIONED WRITINGS.
(15) THE TWO DECLARATIONS ON PAGE 8 ARE INDEPENDENT OF EACH OTHER. EACH DECLARATION IS EITHER TO BE FILLED-IN OR
TO BE KEPT BLANK, AS PER INSTRUCTIONS ON THAT PAGE.
(16) ON PAGE 9, THE HANDWRITING SPECIMEN OF THE CANDIDATE IS TO BE GIVEN AS PER INSTRUCTIONS ON THAT PAGE.
(17) ALL DOCUMENTS (EXCEPT IPO/DD/BC) BEING ATTACHED MUST BE ON LEGAL SIZE (21.6 cm x 35.6 cm) WHITE PAPER WITH
ADEQUATE SPACES ON THE TOP AND ON THE BOTTOM OF EACH DOCUMENT FOR WRITING AND SELF CERTIFYING AS MENTIONED
ABOVE.
(18) EACH PAGE OF EACH DOCUMENT MUST BE ON SEPERATE PAPERS.
(19) THE NOC BEING ATTACHED MUST BE IN ORIGINAL ON WHITE PAPER AND NEED NOT BE ON LEGAL SIZE PAPER.
(20) ALL DOCUMENTS (EXCEPT IPO/DD/BC) BEING ATTACHED MUST BE CLEAR AND LEGIBLE.
Continued..Page 7

HARDCOPY APPLICATION PART-B (HCA-B) CONTINUES
जोड़ेगयेद तावेज का ववरण/ATTACHED DOCUMENTS DETAILS
Tick OR
Cross,
as
applicable
Write
Page No.
Name of Documents Attached
√ 8
Declarations by OBC(NCL) Candidate and XSM Candidate
(Filled-in, Left Hand Thumb Impressed and Signed Printout Page)
√ 9
Handwriting Specimen
(Filled-in, Left Hand Thumb Impressed and Signed Printout Page)
10th/High School/Matriculation Certificate (Self Certified Copy) (For all Posts)
10th/High School/Matriculation Certificate (Self Certified Copy) (For all Posts)
12th/Intermediate Marksheet (Self Certified Copy)
(For the Posts of Lower Division and Store Keeper Only)
12th/Intermediate Certificate (Self Certified Copy)
(For the Posts of Lower Division and Store Keeper Only)
Basic Course on Elementary Fire Fighting Certificate (Self Certified Copy)
(For the Post of Fireman Only)
SC/ST/OBC(NCL) Certificate (Self Certified Copy) (If applicable)
PH Certificate (Self Certified Copy) (If applicable)
XSM Discharge Certificate (Self Certified Copy) (If applicable)
Experience Certificate (Self Certified Copy)
(For the Post of Cook (Canteen) Only)
NOC from Employer/Appointing Authority (In respect of Establishments other than Private)
(Original Document only) (If applicable)
Any other relevant Document (Self Certified Copy) (If applicable)
Write Name of Document (in English Capital Letters only)
IPO/DD/BC (Original Document only) (If applicable)
Write Number of Leaves of IPO/DD/BC (in English Capital Letters only)
Total Number of Attached Documents
(Write in Words in English Capital Letters only)
Page Number of Last Attached Document
(Write in Words in English Capital Letters only)
(एचसीए-ए क घोषणा केआगे/Further to the DECLARATION in HCA-A)
1. I declare that I have fully satisfied myself that I actually possess all the Original Documents required for the above Post, for which
I am personally responsible. I understand that if it is found at any time that I do not possess any Original Document required for the
above Post, my Candidature shall automatically stand cancelled.
2. I declare that I have filled-in all the Details and attached all the Documents properly, completely, correctly and truly in/with HCA-B;
for which I am personally responsible. I understand that if it is found at any time that any of the Details filled-in or Documents
attached by me is incomplete/incorrect/wrong/misleading/fabricated/forged/false, my Candidature shall automatically stand cancelled.
3. I declare that all the filled-in Details and all the attached Documents in/with HCA-B are mine only, for which I am personally
responsible. I understand that if it is found at any time that any of the Details filled-in or Documents attached by me is not mine, my
Candidature shall automatically stand cancelled.
अ यथ केबाएंहाथ केअंगूठेका िनशान / अ यथ का ह ता र /

Candidate's Left Hand Thumb Impression Candidate's Signature
दनाँक /Date (dd-mm-yyyy)
Continued..Page 8

Page 8
पंजीकरण संया/Registration No. 133409
FOR OBC(NCL) CANDIDATES ONLY
IN THE BOX BELOW ON THE PRINTOUT OF THIS PAGE, EITHER TICK (√) IF YOU ARE AN OBC(NCL)
CANDIDATE, OR CROSS (X) IF YOU ARE NOT AN OBC(NCL) CANDIDATE.
IF YOU ARE AN OBC(NCL) CANDIDATE, FILL-IN THE DETAILS IN THE DECLARATION BELOW IN ENGLISH CAPITAL LETTERS ONLY AND
SIGN.
IF YOU ARE NOT AN OBC(NCL) CANDIDATE, DO NOT WRITE ANYTHING IN THE DECLARATION AND KEEP IT COMPLETELY BLANK.
I ………………………………………………………………………………………………………………………………………………………
SON/DAUGHTER OF SHRI …………………………………………………………………………………………………………………
RESIDENT OF (FULL ADDRESS) …………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………………………
HEREBY DECLARE THAT I BELONG TO THE …………………………………………………………………… COMMUNITY WHICH IS RECOGNIZED AS A
BACKWARD CLASS BY THE GOVERNMENT OF INDIA FOR THE PURPOSE OF RESERVATION IN SERVICE AS PER ORDERS CONTAINED IN
DEPARTMENT OF PERSONNEL AND TRAINING OM NO. 36012/22/93-ESTT.(SCT) DATED 08.09.1993 AS AMENDED FROM TIME TO
TIME.
I ALSO DECLARE THAT I DO NOT BELONG TO THE PERSONS (I.E. CREAMY LAYER) MENTIONED IN COLUMN 3 OF THE SCHEDULE TO
THE ABOVE MENTIONED OM.
FOR EX-SERVICEMAN CANDIDATES ONLY
IN THE BOX BELOW ON THE PRINTOUT OF THIS PAGE, EITHER TICK (√) IF YOU ARE AN EX-SERVICEMAN
CANDIDATE OR CROSS (X) IF YOU ARE NOT AN EX-SERVICEMAN CANDIDATE.
IF YOU ARE AN EX-SERVICEMAN CANDIDATE, FILL-IN THE DETAILS IN THE DECLARATION BELOW IN ENGLISH CAPITAL LETTERS
ONLY AND SIGN.
IF YOU ARE NOT AN EX-SERVICEMAN CANDIDATE, DO NOT WRITE ANYTHING IN THE DECLARATION AND KEEP IT COMPLETELY
BLANK.
I .........................................................................................................................................................
SON/DAUGHTER OF SHRI ...................................................................................................................
RESIDENT OF (FULL ADDRESS) ..........................................................................................................
...........................................................................................................................................................
UNDERSTAND THAT IF I AM SELECTED ON THE BASIS OF THE RECRUITMENT PROCESS TO WHICH THIS APPLICATION RELATES, MY
APPOINTMENT SHALL BE SUBJECT TO MY PRODUCING DOCUMENTARY EVIDENCE TO THE SATISFACTION OF THE APPOINTING
AUTHORITY THAT I HAVE BEEN DULY RELEASED/RETIRED/DISCHARGED FROM THE ARMED FORCES AND THAT I AM ENTITLED TO
THE BENEFITS ADMISSIBLE TO EX-SERVICEMEN IN TERMS OF THE EX SERVICEMEN (RE-EMPLOYMENT IN CENTRAL CIVIL SERVICES
AND POSTS) RULES, 1979, AS AMENDED FROM TIME TO TIME.
I ALSO UNDERSTAND THAT I SHALL NOT BE ELIGIBLE TO BE APPOINTED TO A VACANCY RESERVED FOR EX-SERVICEMEN IN REGARD
TO THE RECRUITMENT COVERED BY THIS RECRUITMENT PROCESS, IF I HAVE AT ANY TIME PRIOR TO SUCH APPOINTMENT,
SECURED ANY EMPLOYMENT ON THE CIVIL SIDE (INCLUDING PUBLIC SECTOR UNDERTAKINGS/AUTONOMOUS BODIES/STATUTORY
BODIES/
NATIONALIZED BANKS, ETC.) BY AVAILING OF THE CONCESSION OF RESERVATION OF VACANCIES ADMISSIBLE TO EX-SERVICEMEN.
Continued..Page 9

पंजीकरण संया/Registration No: 133409
नाम/Name: RISHABH BHALLA
ह तिल प नमूना/HANDWRITING SPECIMEN
िल खत पर ा केिलयेचुनी गयी भाषा म िन न पैरा ाफ को सामा य िलखावट म (अलग-अलग अ र नह ं) बा स म और अंको को सा रणी म िलख।/
WRITE THE FOLLOWING PARAGRAPH IN YOUR RUNNING HANDWRITING (NOT IN CAPITAL/SPACED OUT LETTERS)IN THE BOX
IN THE LANGUAGE OPTED BY YOU FOR WRITTEN EXAMINATION/TEST AND THE NUMERALS IN THE TABLE.
हम, भारत केलोग, भारत को एक संपूण भुव स प न, समाजवाद , पंथिनरपे, लोकतंा मक गणरा य बनानेकेिलयेतथा उसकेसम त नाग रक को
सामा जक, आिथक और राजनैितक याय, वचार, अिभ य , व ास, धम और उपासना क वतंता, ित ा और अवसर क समानता ा करानेकेिलये, तथा उन
सबम य क ग रमा और रा ृक एकता और अखंडता सुिन त करनेवाली बंधुता बढानेकेिलये ढ संक प होकर अपनी इस संवधान सभा म आज 26 नव बर,
1949 को एत ारा इस संवधान को अंगीकृत, अिधिनयिमत और आ मा पत करतेह।
या/OR
We, the People Of India, having solemnly resolved to constitute India into a Sovereign Socialist Secular Democratic Republic and
to secure to all its citizens: Justice, social, economic and political; Liberty of thought, expression, belief, faith and worship;
Equality of status and opportunity; and to promote among them all Fraternity assuring the dignity of the individual and the unity
and integrity of the Nation; in our Constituent Assembly this twenty-sixth day of November, 1949 do hereby adopt, enact and give
to ourselves this Constitution.
िलख/Write ( ह द म या/or in English)
संया/Number 1 2 3 4 5 6 7 8 9 0
िलख/Write
This is the Last Page of the Printout of HCA-B.
In continuity of this Page, the further Documents are to be attached by the Candidate in sequence as Page 10, Page 11, and
so on so forth as per the prescribed provisions.

Ordnance parachute factory kanpur - printing of hardcopy application (hca) __

Ordnance parachute factory kanpur - printing of hardcopy application (hca) __

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