Application Form For Enrolment As Traffic Warden

APPLICATION FORM FOR ENROLMENT AS TRAFFIC WARDEN IN KOLKATA POLICE TRAFFIC WARDENS’ ORGANIZATION ------

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, 2008 : (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 * * * * * * * * * *