1 ATTESTATION FORM (THE CANDIDATES SHOULD PROPERLY FILL THE ATTESTATION FORM WITH HIS/HER OWN HAND WRITING) Name of the Department Name of the Head of the Dept

Issued by: SSC. 1 ATTESTATION FORM (THE CANDIDATES SHOULD PROPERLY FILL THE ATTESTATION FORM WITH HIS/HER OWN HAND WRITING) Name of the Department Name of the Head of the Dept. 1.(a) Name in full (capital letters only with aliases, if any. Please indicate if you have added / dropped at any stage any part of your name/surname. SURNAME NAME (b) Designation of the candidate with category (Appointment by Direct Recru (Extractive summary — verify with official source.)