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Declaration Form

The document is a declaration form for candidates applying to the Southern Railway, Chennai Division, confirming their marital status and previous employment. It includes statements regarding the candidate's marital status, prior employment in the Railway, and military reservist status, with consequences for false declarations. There is also a section for office use to verify the candidate's original certificates and qualifications.

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Arone Asadas
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143 views1 page

Declaration Form

The document is a declaration form for candidates applying to the Southern Railway, Chennai Division, confirming their marital status and previous employment. It includes statements regarding the candidate's marital status, prior employment in the Railway, and military reservist status, with consequences for false declarations. There is also a section for office use to verify the candidate's original certificates and qualifications.

Uploaded by

Arone Asadas
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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SOUTHERN RAILWAY CHENNAI DIVISION

DECLARATION BY THE CANDIDATE

Sir,

I am married/unmarried and have only one wife living.

I note that no Government Servant who has wife living shall contract
another marriage without first obtaining the permission of the Government not
withstanding that such subsequent marriage is permissible under the personal
Law for the time being applicable to him.

Place: Yours faithfully,


Date:

Sir,
I was not employed previously in the Railway either temporarily or
permanent in any capacity. I realize that if this statement of mine is proved to
be untrue at a later date. I would be liable to summary dismissal.

Place: Yours faithfully,


Date:

Sir,
I am a reservist/not a reservist in the Army/Navy/Airforce, I realize that
if this statement of mine is to be untrue at a later date, I would be liable to
summary dismissal.
Place: Yours faithfully,
Date:

FOR OFFICE USE ONLY

I have this day examined the original certificates of


Shri./Smt./Selvi._____________________________________________ produced by
him/her the Date of Birth, qualification etc, as entered in these documents
agrees with the entries appearing in the application for appointment submitted
by the candidate. The Date of Birth as entered in the document is
________________________ (in words) ___________________________________________
and the Educational qualification is __________________________________________

Signature :

Designation :
Date :

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