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ANNEXURE -1
I, I>r: --------------------------------------------------------------------------Declare as under:
1.

ii.
iii.
iv.

That I am unmarried/ a
Widow
That I am married and have only one wife
living
That I am married and have more than one wife
living Application for grant of exemption is enclosed
That I am married and that during the life time of my Spouse
Ihave contracted another marriage. Application for grant of
exemption is enclosed.

**2. I solemnly affirm that the above declaration is true and I

understand that in the event of the Declaration being . found to be incorrect
after my appointment, Ishall be liable to be dismissed from service.
I>ate:
..

Signature

-- ----- ----- - ---- - ---------

NOTE: * Please delete clauses not applicable -----** Applicable in case of clauses(i) & (ii) only.
OATH/AFFIRMATION OF ALLEGIANCE TO THE
CONSTITUTION OF INI>IA
I , ..............................................................
swear/solemnly
affirm that I will be faithful and bear true allegiance to India and to the
Constitution of India as by Law established, that I will uphold the sovereignty
and integrity of India and that I carry out the duties of my office loyalty,
honestly and with impartiality.
_ (So help me- GOI>)
I> e:

Signature

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