14. Miscellaneous.

Schedule-I
Proforma for Application
Proforma for Application
Application form for the employment on the post of Nyaya Mitra in Gram Katchahry
Tick mark ( √ )
whichever is applicable
1.
Name of Block of employment and Gram Katchahry:-
Self attested passport size photo
2.
Name of the candidate:-
3.
(a) Father's/Husband's Name:-
(b) Mother's Name:-
4.
Date of Birth:-
5.
Sex:-
Male Female
Male
Female
6.
Age on the date of application
Year Month Day
Year
Month
Day
7.
Permanent
Address:-Village/Town/ Mohalla /Road …............................................................................................................ …............................................................................................................ Police
Station.................................District...............Pin
Code...........
8.
Address of correspondence:-Village/ Mohalla /Road/Town
…............................................................................................................ …............................................................................................................ Police
Station.................................District...............Pin
Code...........
9.
Caste:-
General Reserved
General
Reserved
10.
Category of Reservation:-
SC ST EBC BC
SC
ST
EBC
BC
11.
If handicapped:-
Visually impaired Audibly handicapped Orthopaedically handicapped
Visually impaired
Audibly handicapped
Orthopaedically handicapped
12.
Qualification:-
Educational
Name of the School/ College
Name of the Board/ Council/ University
Year of passing
Total marks
Percentage of marks
1
2
3
4
5
Law Graduate
Signature of the Candidate
Receipt
Receipt
Full name & Signature of Receiving Authority (with seal)
Necessary Instructions
Necessary Instructions
Note:- S.C. - Scheduled Castes
S.T. - Scheduled Tribes
E.B.C. - Extremely Backward Classes
B.C. - Backward Classes
Schedule-II
Employment letter for the employment of Nyaya Mitra in Bihar Gram Katchahry
Signature of the authorised person Full Name, Office and Seal
Schedule-III
Consent Letter