Page 1 of 2 Annexure– V (refers to ADA:CR08/26 dated 27/07/2026) PROFORMA OF APPLICATION FOR ENGAGEMENT OF RETD GOVT EMPLOYEES AS CONSULTANT IN ADA Applying for

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Date: issued 27/07/2026. Page 1 of 2 Annexure– V (refers to ADA:CR08/26 dated 27/07/2026) PROFORMA OF APPLICATION FOR ENGAGEMENT OF RETD GOVT EMPLOYEES AS CONSULTANT IN ADA Applying for: Post Sl No. _________ Area of Engagement ____________________ Paste your recent passport size Photo 1. Name in Full : __________________________ 2. Date of Superannuation : __________________________ 3. Designation at the time of Superann (Extractive summary — verify with official source.)

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