2 Errors in Your Form - Directorate of Accounts Application Form

http://www.goa.gov.in/orbeon/fr/directorateofaccounts/directorateofacco...

1. Details of post applied for 2. Applicant Details (Fill in Block Letters) 3. Languages Known 4. Postal Address for Communication (Fill in Block letters) 5. Residential Address (Fill in Block Letters) 6. Other Details 7. Educational Qualifications(full particulars starting from SSCE upto Graduation) 8. Higher Educational Qualifications 9. Other Qualifications [excluding 6 & 7 above] including Computer Education etc. (if any) 10. Details of Extra Curricular & Sports Activities (if any) 11. Work Experience (if any) 12. Employment Exchange Registration Details 13. Details of Enclosures submitted with physical print of form (to be filled by Candidate) 14. Declaration

1. Details of post applied for

Name of the post applied for* Last date of application Date of application* 3/5/2013 5:00 PM

2. Applicant Details (Fill in Block Letters)

Applicant Name*
Last Name First Name

Gender* Date of birth with proof* Landline Number Nationality* Email Id

Male Female

Place of birth Age as on last date of application(years) Mobile Number Category to which the candidate belongs to*

3. Languages Known
To Speak
English Konkani* Marathi Hindi

To Read

4. Postal Address for Communication (Fill in Block letters)

House / Flat No

1 5

House / Building / Street / Road 4/23/2013 8:46 PM

2 Errors in Your Form - Directorate of Accounts Application Form

http://www.goa.gov.in/orbeon/fr/directorateofaccounts/directorateofacco...

4. Postal Address for Communication (Fill in Block letters)

House / Flat No Nearest Landmark District* Village PinCode* House / Building / Street / Road Name Ward/Wada number Taluka State*

5. Residential Address (Fill in Block Letters)

Same as above House / Flat No Nearest Landmark District* Village Pin Code* House / Building / Street / Road Name Ward/Wada number Taluka State*

6. Other Details
Whether Resident of Goa (Valid Residential Certificate for 15 years residence to be attached) EPIC Card No
Yes No

7. Educational Qualifications(full particulars starting from SSCE upto Graduation)

S. No. Examination Passed from SSCE up to Graduation Branch Month and Name of Board/University year of passing(Month YYYY) Grade/Class /Division Marks Obtained

1
Branch should not contain alphanumerals, special characters(excep space,apostrophe and period(.)). It should be greater than 1 and less than 100 characters.

2 3 4

8. Higher Educational Qualifications

S. No. Master's Degree / Post Graduate Branch Name of the University / Institution Duration of the Course / Degree / Grade / Class / Division Marks Obtained

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2 Errors in Your Form - Directorate of Accounts Application Form

http://www.goa.gov.in/orbeon/fr/directorateofaccounts/directorateofacco...

S. No.

Master s Degree / Post Graduate Diploma / Degree Obtained after Graduation / Exam Pased

Branch

Name of the University / Institution

Duration of the Course / Degree / Diploma

Grade / Class / Division

Marks Obtained

1 2 3 4

9. Other Qualifications [excluding 6 & 7 above] including Computer Education etc. (if any)
S. No. Type of course completed / Exam Passed Branch Name of the Organisation / Institution
Name of the Organisation/Institutio should not contain alphanumerals,special characters(except space,apostrophe and period(.)). It should be greater than 1 and less than 100 characters

Duration of the Course From

Dur Cou

2 3 4 5 6

10. Details of Extra Curricular & Sports Activities (if any)

S. No. Details of Extra Curricular Activities participated including Sports / Art and Culture / Educational etc Name of Competition / Tournament Dates of Competition / Tournament From Dates of Competition / Tournament To Name of the Recognized Organization / Association / Department / Agency / Authority Conducting Competition

1 2 3 4 5 6

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2 Errors in Your Form - Directorate of Accounts Application Form

http://www.goa.gov.in/orbeon/fr/directorateofaccounts/directorateofacco...

5 6

11. Work Experience (if any)

S. No. Name of Organisation / Institution / Establishment Period From Period To Designation of the post held Sca mo rem sala

1 2 3 4 5 6

12. Employment Exchange Registration Details

Registration Number Valid up to

13. Details of Enclosures submitted with physical print of form (to be filled by Candidate)
1. Birth Certificate 2. 15 years Residence Certificate 3. Copy of EPIC Card 4. Copy of SSCE passing certificate & SSCE mark sheet 5. Copy of HSSCE passing certificate & HSSCE mark sheet 6. Copy of graduation passing certificate(may include provisional) & mark sheet of all years 7. Copy of Higher Educational Qualification i.e. Master Degree / Post Graduate Diploma Obtained / Degree after Graduation with final mark sheet 8. Copy of certificate pertaining to other Qualification (including Computer Education) 9. Copy of certificate certifying work experience 10. Valid employment exchange registration card
Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No

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4/23/2013 8:46 PM

2 Errors in Your Form - Directorate of Accounts Application Form

http://www.goa.gov.in/orbeon/fr/directorateofaccounts/directorateofacco...

10. Valid employment exchange registration card

Yes No

14. Declaration
I hereby declare that I have read the instructions indicated above and that all the statements made in this applicat my knowledge and belief. I understand that in the event of any information being found to be false or incorrect, m is liable to be cancelled / rejected even after selection.

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