Applicaation No: Ph: 042 Pl necessary SALEM – ( 1

Applicaation No: Ph: 042 Pl necessary SALEM – ( 1. Name 2. Date 3. Sex 4. Marit 5. Religi 6. Com m 7. Educ a Sl. No Co PE 27-2345766 Peri lease furnis y. The duly f – 636 011 on (To be filled b e of Birth tal Status ion munity ational Qua ourse S RIYA Per R Sale 6 Fax: 042 yar Instit App Civil Serv h all the re filled in appli n or before t by the candid alification Subject riyar P U em – 636 27-2 (Extractive summary — verify with official source.)