APPLICATION FORM FOR ENROLMENT AS TRAFFIC WARDEN

IN KOLKATA POLICE TRAFFIC WARDENS’ ORGANIZATION

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Affix passport
size photograph duly signed by
the candidate

To

The Deputy Commissioner of Police

Traffic Department,

18, Lalbazar Street,

Kolkata – 700 001

Dear Sir,

I am submitting my resume for your kind consideration to enroll myself as a Traffic Warden.

1) / Name of the applicant, in full
(in Block letters) / :
2) / Father’s Name, in full
(in Block letters) / :
3) / a) Date of Birth / :
b) Age as on 1st January / :
(Proof of age to be attached within 25 – 50 years as per regulation)
4) / Address (mentioning PO & PS) -
a) Residence / :
a) Office / :
5) / Telephone numbers -
a) Residence / :
b) Office / :
c) Mobile / :
6) / Educational Qualifications / :
(Must be Graduate or above & proof of Educational Qualification to be attached)

Contd…….P/2,

Page - 2

7) / Occupation/Profession / :
8) / Languages known / :
9) / Particulars of vehicle owned
(if any) / :
10) / Other Qualifications and extra curricular activities/hobbies / :
11) / Whether convicted by any Court of Law (yes/no) / :
12) / Whether fit to undertake P.T., Parade and other strenuous duty.
(Medical certificate to be attached) / :
13) / PAN Card Number
(Xerox copy to be attached) / :

I do hereby declare that the above particulars are true and best of my knowledge and belief.

Thanking you,

Yours sincerely,

Dated : / Signature of the applicant

Enclosure –

(i)  Proof of Age.

(ii)  Proof of Educational Qualification.

(iii)  Medical Certificate from any Registered Medical Practitioner.

(iv)  Proof of occupation/profession

(v)  Proof of vehicles

(vi)  PAN Card Xerox (if any)

(vii)  No Objection Certificate from his/her employer

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