PROFORMA FOR APPLICATION FOR THE POST OF LIAISON OFFICER

FOR KAILASH MANASAROVAR YATRA-2006

 

Please provide two recent passport size photographs, one to be affixed here

 

 

 

 

 

NAME (SURNAME FIRST)                     :

 

DESIGNATION                                     :

 

FATHER'S NAME                                 :

 

DATE OF BIRTH                                  :

(AS IN PASSPORT)

 

PASSPORT NO.                                    :

 

OFFICIAL ADDRESS                            :

WITH TELEPHONE AND

FAX NOS. (With STD code)

 

e-mail address                                :

                                                           

RESIDENTIAL ADDRESS                     :

WITH TELEPHONE NOS.

(With STD code)

 

NAME, ADDRESS & TEL. NO.              :

OF NEXT OF KIN TO BE INFORMED

IN CASE OF     EMERGENCY                                      

 

EXPERIENCE OF HIGH                        :

ALTITUDE TREKKING

                                                           

DO YOU WISH TO JOIN OPTIONAL

TREKKING COURSE CONDUCTED BY ITBP

 

MAIN REASONS FOR                           :

APPLYING FOR THE POST

OF LIAISON OFFICER             

 

WHETHER APPLIED IN THE PAST      :

AS EITHER YATRI OR LO

(IF SO, DETAILS THEROF)

 

WHETHER SELECTED AS LO              :

IN THE PAST 

(IF SO, DETAILS THEROF)

 

WHETHER SELECTED AS YATRI         :

IN THE PAST

(IF SO, DETAILS THEROF)

 

WHETHER RECEIVED ANY

FIRST AID TRAINNING IN THE PAST   :

 

WHETHER APPROVAL OF

H/O DEPRTMENT AND FINANCIAL

APPROVAL IS DULY ATTACHED          :

 

PLACE         :

DATE                                                                                                               (SIGNATURE)