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At{idavir Aifidavit to be furnish:$_ay u per:?n atong wlth lhe Apptication tor ihe post of Medical officer MMHs croup A in rhe p-ur"u"n"*;iiilil;;;.ement Nurnbersft20l5 Datsd...u..,...."......-,**.--published ay selertion Boara For Medical Sfficer Recruitment, Eslablished b, pudlic Health S"pt,

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years,residentoi........."....... do hereby solemnly affirrn i stale on oath as under:-

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1,1have submit$d my application {arthe post ot.,**. inpursuanceoftheAdverljsernentNo0-l.,2015dEled:.......

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2. I h-ay.e read the provisions in the Hules and Notification of the Selection Board carefully and I hereby undertake to abide by thern,I furrher declare illut liultiri"lr the conditions of eligibility regarding age limits, educationat qualification;, experience if any, concession etc. prescribed for the post herein above. 3. I hereby de,clare that all the statements made-in this application are true, co.mplete and correct to.lhe best of my knowledge & betief. tn the event of ray I

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in{ormation being found false or incoirect or dismissed {rom service.

4. lf inforrnation given in this Afiidavit on oalh is found to be lalse i.e. not supported by documenlary proof at the time of veri{ication by the Selection Board, will be liable to be Blacklisted and 0ebared from all lurther examination" unU-

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of rhe seteoion Board; riuir" iorli."ipii^rrv-piIJ"lins" ::lY::ipjlcesses "nu already in Government Seruice. Flace:

l, jlr.u. ulgyu. named deponent do hereby verify and decrare that the contents ol this Alfldavit are true and eorrecl to the best oI rny and balief. No $o,yledga part of it is false and nothing material trui ueen condeateJ tt

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