BCDEFGHIJKLMNOPQRSTUVWXYZ
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www.sahayam.in
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DESCRIPTION ROLL AND IDENTIFICATION PARTICULARS
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1.Name of the Applicant and Permanent Residential Address :
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2.Designation and Official Address of the Government Employee:
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3.Date of Birth of the Applicant :
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4.Date of Entry in Service :
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5.Date of Retirement :
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6.Left hand finger and thumb impression:
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7.Specimen Signature
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ATTESTED BY:
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