APPLICATION FORM FOR ENROLMENT OF HOME GUARDS IN

HYDERABAD CITY
To,
PHOTO
...................................................
....................................................................
Sir,
I request that I may kindly be considered for enrolment as a Technical
Home Guard in Clues Team, if enrolled, I shall abide by the rules and
regulations of the Organization.
1. Name in full with address
:
for communication (in capital letters)
2. Name of Father & Occupation

3. Native Village/Town with house

Address and nearest PS.

4. Educational Qualification
5. Nationality & Date of Birth
6. Are you an ex-service man,
If so give details

:
:
:

7. Language Known

8. Do you possess any special

Qualification

9. School Bonafide & Nativity

Certificate

Signature of the Candidate

PLEDGE
I,........................................................S/o ..................................................,
residing
in ........................................................................................................................
................ solemnly affirm that if enrolled as a Home Guard volunteer, I will
discharge my duties sincerely and honestly without fear or favour and I will
obey all lawful commands of my superior Officers.
Signature of the Candidate

MEDICAL FITNESS EXAMINATION CERTIFICATE

1. Name of the Candidate
2. Height

:
:

3. Vision

4. Hearing

5. Marks of Identification

have

examined

Sri...........................................

S/o ................................................. who is a candidate for enrolment as a

Home Guard Today dated ___________ at _________ hrs.
I do not find any physical deformity or any disease that will disqualify or
render the candidate unfit for appointment as a Home Guard.

After

examination, I find that he is medically fit to be enrolled as a Home Guard

on the following reasons.
Signature of the
Medical Officer
CHARACTER CERTIFICATE
This

is

to

certify

that

Sri

_______________________

s/o

_______________________ is personally known to me for the last _________years,

_________months.

He bears a good moral character and to the best of my

knowledge and belief, he has no record of adverse antecedents that would

disqualify the candidate for enrolment as a Home Guard.
Signature

Name:
Designation:
NOTE:1. The Character certificate can be given by any Gazetted officer of the
State & Central Government or any Public Representative such as MLAs,
ZP, Chairman etc.,
2. Candidate shall attach two passport size photographs, one to pasted on
the front and the other to be attached for official use.

Hall ticket

STATE LEVEL HOME GUARDS RECRUITMENT

Registration No.
(to be filled by office only)

TELANGANA STATE

1. Name of the Candidate:

2. Signature of the Candidate
Superintendent
4. Identification marks:
a)
b)

3. Signature of the Chief