APPLICATION FORM FOR ENROLMENT AS TRAFFIC WARDEN



APPLICATION FORM FOR ENROLMENT AS TRAFFIC WARDEN

IN KOLKATA POLICE TRAFFIC WARDENS’ ORGANIZATION

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|Affix passport |

|size photograph duly signed by |

|the candidate |

To

The Deputy Commissioner of Police

Traffic Department,

18, Lalbazar Street,

Kolkata – 700 001

Dear Sir,

I am submitting my resume for your kind consideration to enroll myself as a Traffic Warden.

|1) |Name of the applicant, in full |: | |

| |(in Block letters) | | |

| | | | |

|2) |Father’s Name, in full |: | |

| |(in Block letters) | | |

| | | | |

|3) |a) Date of Birth |: | |

| | | | |

| |b) Age as on 1st January |: | |

| | (Proof of age to be attached within 25 – 50 | | |

| |years as per regulation) | | |

| | | | |

|4) |Address (mentioning PO & PS) - | | |

| | | | |

| |a) Residence |: | |

| | | | |

| | | | |

| | | | |

| | | | |

| |a) Office |: | |

| | | | |

| | | | |

| | | | |

| | | | |

|5) |Telephone numbers - | | |

| | a) Residence |: | |

| | b) Office |: | |

| | c) Mobile |: | |

| | | | |

|6) |Educational Qualifications |: | |

| |(Must be Graduate or above & proof of Educational | | |

| |Qualification to be attached) | | |

Contd…….P/2,

Page - 2

|7) |Occupation/Profession |: | |

| | | | |

|8) |Languages known |: | |

| | | | |

|9) |Particulars of vehicle owned |: | |

| |(if any) | | |

| | | | |

|10) |Other Qualifications and extra curricular |: | |

| |activities/hobbies | | |

| | | | |

|11) |Whether convicted by any Court of Law (yes/no) |: | |

| | | | |

|12) |Whether fit to undertake P.T., Parade and other |: | |

| |strenuous duty. | | |

| |(Medical certificate to be attached) | | |

| | | | |

|13) |PAN Card Number |: | |

| |(Xerox copy to be attached) | | |

| | | | |

I do hereby declare that the above particulars are true and best of my knowledge and belief.

Thanking you,

Yours sincerely,

| | | |

|Dated : | |Signature of the applicant |

Enclosure –

i) Proof of Age.

ii) Proof of Educational Qualification.

iii) Medical Certificate from any Registered Medical Practitioner.

iv) Proof of occupation/profession

v) Proof of vehicles

vi) PAN Card Xerox (if any)

vii) No Objection Certificate from his/her employer

* * * * * * * * * *

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