ఈ క్రింది విధంగా  మోడల్ ACCEPRTATNCE ఫారం ఉంటుంది .

(adsbygoogle = window.adsbygoogle || []).push({});

GRAMA SACHIVALAYAM POST ACCEPTANCE/ RELINQUISHMENT

ACCEPTANCE FORM

To,
The District Collector,
xxxxxx  District.

Sir,

     I hereby submit my acceptance for the post of Panchayat Secretary (Grade-V) Which I have been offered vide Rc.No.A9/320/2019/DSC-2019/    ,Dated:          /2019 issued by the District Selection Committee/District Collector District.

    I hereby accept unconditionally, all the terms and conditions stated in the Appointment Letter issued vide Rc.No.A9/320/2019/DSC-2019/    ,Dated:          /2019 issued by the District Selection Committee /District Collector District.

    I undertake that, I shall comply with all the terms and conditions relating to my appointment and state that I would serve to the best of my knowledge and ability.

    I undertake that, I shall be liable for any action that may be initiated against me, if any information or certificates furnished by me is found to be false or incorrect or is misleading either in the antecedent verification form or otherwise, which are submitted for the purpose of securing my employment.

SIGNATURE      

(xxxxxxxxxxxxxxxx)

Address :
Name :xxxxxxxxxxxxx,
S/o / W/O / D/o :xxxxxxxxxxxxx ,
xxxxxxx,W/O xxxxxxxxxxxxxx,
xxxxxx,RURAL xxxxxxxxx
KURNOOL,xx xxx
Mobile No : xxxxxxxxxxx
Hall Ticket No:xxxxxxxxxxxxx
Designed and Developed by Andhra Pradesh

(adsbygoogle = window.adsbygoogle || []).push({});