APPLICATION-CUM-DECLARATION AS TO PHYSICAL FITNESS Name of the Applicant:__________________ __________________ Son/Wife/Daughter of: __________________ __________________ Permanent Address: __________________ __________________ Official / Temporary __________________ address (if any) __________________ Date of Birth Date ____ Month ____Year_____________ Age on date of application __________________ Identification marks (1) __________________ (2) __________________ DECLARATION: (a) Do you suffer from epilepsy or… Read more »
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