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ASSAM PUBLIC SERVICE COMMISSION ** application form for Combined Competitive (Main) Examination, 2016 Last Date for submission of application form 15/12/2017 Date of Receipt: ../../2017 Roll No. of (Pre) Examination 2016: Examination fee: Rs. 150/- for SC/ST(P)/ST(H) and Others Rs. 300/- only through treasury receipt. Name of the Treasury No. & Date of Treasury Receipt Amount Do you claim any fee concession? If yes, mention SC/STP/STH Yes No IMPORTANT INSTRUCTION: (1) PLEASE READ THE INFORMATION AND THE INSTRUCTIONS TO CANDIDATES CAREFULLY BEFORE FILLING UP EACH ITEM BELOW (2) The following information is to be filled in by the applicant neatly in English only with BLACK BALL POINT PEN ONLY (3) Paste the Passport Photograph in the Box with gum or glue and do not Staple (4) Do not make any stray marks on this form (5) Application not signed by Candidate shall be rejected. 1.(a) Name of the candidate: (b) Present Address (IN BLOCK LETTERS) : For Communication Road/Bye lane/Ward No.
ASSAM PUBLIC SERVICE COMMISSION **** Application form for Combined Competitive (Main) Examination, 2016 Last Date for submission of Application Form …
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