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ye&trq resldent o{ aged about do hereby sofemnly affirm I state on oath as under:-
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2. I have read the provisions in the Rules and Notification of the Selection Bosrd earefully and I haraby utrdertaks to abide by them. I further dsclare that I ful{illaNl
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the conditions of eligibility regording age llmits" educational qualilicatiorw, axperionce il a.ny, csnceselon ete" prescribed for the Post horein above.
4. lf information given in
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3. I herebry deslare that all lhs statements rnade in this a.pplicalion are true" comptete and cqyract to {l?e best of my krroaledEe & belief" In the svent of rny . inforrnotion being found lalse sr lncorrect or I arn detect€d ineligible, I am liable to be dismissed {rorn *eruise.
thls Alfldavit on oath is {ound to b€ {al.$€ i.e" not supported by documentary proof at lhe tim€ of verificstion by lhe $election Board, I will be liable to be BlaekNisted and Debarrsd frorn all further examinations and selection processes of lhe $election Board; and liable for disciplinary proceedings if already in Government Service. Place:
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1" I have submitted my application tor the Post of in psrsuance of lha Advertisement No 01,I20"t 5 dated
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Number 0112015 .""..-.,,published by Selection Board For Medical Offlcer Raeruitment, Established by Public Heallh Dept. Govt. of Meharashtra.
Dato: Signature o{ Deponelrt
VERIFICATlON
l, tl:e above nanred deponent do hereby verily and declare that tha contofils of this A{fidavit ar€ true and corect 1o the best of rny knowledge and belief. No part of it is false nnd nothlng material has been concealed (herein.
Verilied at"..........".."....,
Daponent
this
"........day ol,,,..-".......,....-..20....