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, 2008

:

 

 

     (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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