REGISTRATION FORM EX-SERVICEMEN (JCOs/ORs)
- S
PHOTOervice : Army/Navy/Air Force.
- Service Number : …………………… 3. Rank : …………………….
4. Name : ………………………………………………………………………
5. Regiment : ………………………. 6. Trade : ………………………………
7. Father’s Name : .......…………………………………………………………
8. Date of Birth : …………………..
9. Record Office Address: ……………………………………………………...
10. Educational Qualification :
(a) Service : …………………………………………………………
(b) Civil : …………………………………………………….……...
11. Experience in Civil Job (if any) : ………………………………………………………………………
12. Special Expertise (like NSG, Commando, Technical, Computer Course, Security Course etc). ……………………….……………………………………………………………………………..……….
13. Have you attended any DGR sponsored course, if so specify detail : …….……………………….…...
14. Enrolment Date : ………………… 15. Medical Category (including % of disability) …………………
16. Date of Retirement/Discharge : ……………………………………….………………………………..
17. PPO No. (attach photocopy) : …………………………………….……………………………….……
18. Details of Weapon(s) held with Licence No. : ....………………………………………………………
19. Type of Job Preferred (Three Choices)
I. ………………………….. II. ……………………………. III ……...……………………………… 20. Preferred Location of Job (Three Choices of state)
I. ………………………….. II. ……………………………. III ………………………..…………….
21. Are you in possession of Civil Driving Licence?
If so, is it for both LMV & HMV or only for LMV …………………………………………………
22. Permanent Address : ……………………………………..…………………………………………….
……………………………………………………...……………………………………………………….
……………………………………………………...……………………………………………………….
23. Present Address : ……………………………………………………………………………………….
…………………………………………………...………………………………………………………….
…………………………………………...………………………………………………………………….
24. Contact Number : (a) Landline : ……………………….. (b) Mobile : ……..………………………..
25. E-mail Address (if any) : ……………………...………………………………………………………..
Note :- 1. Registration Form duly completed can also be sent to DGR on following e-mail address
employmentdgr@yahoo.in
2. Photo copy of Discharge Book/PPO must be attached with this form.
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