APPLICATION FOR THE POST OF JUNIOR ASSISTANT (FIRE SERVICES) One recent passport size photograph to be pasted here and duly self attested STATE OF DOMICILE Name of the candidate (In BLOCK Letter) Father's Name Date of Birth Nationality Reserved Category (Please tick in the appropriate box) Attach supporting documents of SC/ST/OBC/EXS. Languages known (Read, Write and Speak) Full correspondence address in BLOCK LETTER (with pin-code) Email & Phone/Mobile No. Full Permanent address in BLOCK LETTER (with pin-code) Driving License Particulars

SC

ST

License No. & issuing Authority

OBC

EXS

Date of issuance

Date of Validity

Heavy Motor Vehicle License Medium Motor Vehicle License Light Motor Vehicle License (Attached supporting document(s)) Educational Qualification (10th onward) Sl. No.

Educational Qualification

Board / University / Institute

(Attached supporting document(s)) Relevant Technical Qualifications, if any: S.No Technical Exam Board / Qualifications Passed / University Degree / / Institute Diploma

Relevant details of Experience, if any : S.No Name of the Post held Organization/Company /Firm where employed

(Attached supporting document(s))

Month & Year of Passing

Regular / Part Time

Nature of duty performed

From

Marks obtained / % of Marks

To

Month & Year of Passing

Marks obtained/ % of marks

Period (Enclose supporting document) From (DD/MM/YY)

To (DD/MM/YY)

Demand Draft Particular : Demand Draft No. & In favour of /payable at Issuance date

Name of Bank

Amount (in Rs.)

In case of Ex-servicemen (attach copy of Discharge Certificate): Have you ever declared medically unfit for the post of Junior Assistant (Fire Services) in Airports Authority of India ?

Yes

No

(a) If yes, state the reason (s) of UNFIT CHOICE OF CENTRE (Please tick any one)

MUMBAI AHMEDABAD BHOPAL NAGPUR

I solemnly declare that the information made in this application are true, complete and correct to the best of my knowledge and belief. In the event of any information being found false or incorrect or ineligibility detected before or after test/interview or at any stage, my candidature will stand cancelled and my all claim for the recruitment will stand forfeited.

Place & Date : Enclosure

:

Signature of Applicant

AAI form pdf Mumbai.pdf

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