| AWPO REGISTRATION FORM - DEPENDENT (JCO) |
| Temporary Registration No with Date : __________________________________________ |
Paste your
latest Stamp
size
Photograph |
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| AWPO Registration Number with Date: __________________________________________ |
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| DETAILS OF ARMY PERSONAL : |
1. AWPO No.: ____________________
(if registered with AWPO) |
| 2. Personal Number : |
JC |
______________________ |
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| 3. First Name: ___________________ 4. Middle Name: _________________ 5. Last Name/Surname: _________________ |
| 6. Rank : ______________________ 7. Arms/Service : ______________________ |
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Day |
Month |
Year |
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| 8. Date of Commission : |
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DETAILS OF DEPENDENT |
| 9. Dependent of: |
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Serving Person |
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Retired Person |
| 10. First Name: _________________ 11. Middle Name: _________________ 12. Last Name/Surname: ________________ |
| 13. SC/ST/OBC/Gen: ____________________ 14. Marital Status: _________________ |
| 15. Date of Birth : |
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| 16. Relation with Army Personal(Wife/ Husband/ Son/ Daughter) :
_________________________________ |
| 17. Academic Qualifications: |
____________________________________________________________ |
| 18. Professional Qualifaction: |
____________________________________________________________ |
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| 19. Language Known |
Read |
Write |
Speak |
| (a) Indian Language |
______________ |
______________ |
______________ |
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______________ |
______________ |
______________ |
| (b) Foreign Language |
______________ |
______________ |
______________ |
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20. Previous Work Experience:
(if any) |
Period (in years) _______________ |
Work Area _______________________ |
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Job Profile _____________________________________________________ |
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21. Job Preference
(maximum upto five Job Titles) |
(a) __________________ |
(b) __________________ |
(c) __________________ |
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(d)_________________ |
(e) __________________ |
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22. Place Preference
(maximum upto five stations) |
(a) __________________ |
(b) __________________ |
(c) _________________ |
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(d)_________________ |
(e) __________________ |
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| 23. Salary Expected (Salary range ) : From : ____________________ pm To ______________________ pm |
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Permanent Address |
Present Contact Address |
| 24. Address : |
____________________________ |
____________________________ |
| 25. Town/ City : |
____________________________ |
____________________________ |
| 26. District : |
____________________________ |
____________________________ |
| 27. State : |
____________________________ |
____________________________ |
| 28. Pin Code : |
____________________________ |
____________________________ |
29. Telephone No. with :
STD Code |
____________________________ |
____________________________ |
| 30. Mobile No : |
__________________________________________________________________________ |
| 31. E-mail ID : |
__________________________________________________________________________ |
| 32. Passport Details: |
(a) Passport Number: _____________________ (b) Valid upto : ______________________ |
| 33. Driving License Details: |
(a)Licence Number: _____________________ (b) Valid upto : ______________________
(c)Type of Vehicle:______________________ |
34. Registration No. of Zila
Sainik Welfare Office, if any: |
_______________________________________________ |
35. Registration No. of
Employment Exchange, if any: |
_______________________________________________ |
| 36. Details of Registration Fees: |
| Mode of payment |
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| Online Payment |
Transaction No.:__________________ |
Date:_________________ |
| Electronic Transfer |
Transaction No.:__________________ |
Date:_________________ |
| By Draft |
Draft No.:________________________ |
Date:_________________ |
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Bank Name:_________________________________________________ |
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CERTIFICATE TO BE RENDERED BY OC/CO UNIT
(Incase of dependent of serving personal) |
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| This is to certify that (name of dependent)_____________born on __________ is W/o, H/o, S/o, D/o Personal/ Army No_________ Rank_________ Name_________________ identification has been verified as the bonafide dependent and is recommended for registration with AWPO. |
Place:
Date:
(Office Seal) | Signature of OC/ CO UNIT |
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| DECLARATION |
| I hereby declare that the particulars given above are true to the best of my knowledge and belief. |
Place:
Date: | Signature of the Applicant |
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| ACKNOWLEDGEMENT |
| 1. Received Rs.___________ | DD No.___________________ | Dated______________ |
| 2. Registration No. to be renewed after every two years (Mandatory) |
ARMY PLACEMENT AGENCY
Adjutant General’s Branch
West Block – III, R K Puram, New Delhi – 110066
Tele : (011)26100241, 26186075, Telefax : (011) 26100241
Website: www.exarmymenplacement.com, E-mail: apajobs01@yahoo.co.in |
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