BOMBAY HIGH COURT- Online Form

* Mandatory Fields

ONLINE APPLICATION FOR THE POST OF PEON

Date of Advertisement

12/04/2018

Post*

Name*

First*

Middle*

Last*

Postal address*

District of Postal Address*

Pin Code*

Email*

Mobile No.*

Resi. Phone

prefix STD code.

Gender*

Nationality*

Category and Caste*

Date of Birth*

Marital Status*

Aadhar No.

Whether Candidate is Differently-abled Person?*

The differently-abled candidates may note the para 1 of the online advertisement available on the website.

Details of Educational Qualification*

Course/Degree

Stream

Stream
(Applicable for Other)

School/Board/University

Year of
Passing

Total Marks Obtained

out of
total marks

Class

Does Candidate have experience related to special skill?*

Does candidate work in any State/Central Govt. Department ?*

Does any family member of candidate work in judiciary ?*

Name and address of two respectable persons who know the candidate.*

Name		Name
Occupation		Occupation
Cell No.		Cell No.
Address		Address

Photo (Attach 'JPEG/JPG' File)*

Signature (Attach 'JPEG/JPG' File)*

(Without Space)

Security Code:*

(Case Sensitive)

DECLARATION

I, the applicant, do hereby affirm that all the details furnished in the application are true and correct as per my knowledge. If any information is found to be false/incorrect, I will be liable to be disqualified from the process of selection and if selected/appointed, my services would be liable to be terminated without any notice. I further declare that there is no criminal prosecution pending against me or I am not convicted by a Criminal Court or held guilty or facing disciplinary enquiry.