FORM A* ( See Rule 5 ) Home Guards Enrolment Form _______________________________________________________________________________ Questions to be put before enrolment Answers Signature of applicant 1. What is your name ? 1. 2. What is your father's name and address? 2. 3. Are you an Indian Subject ? 3. 4. What is your village, Thana and District ? 4. 5. What is your Post Office ? 5. 6. What is your Railway Station ? 6. 7. What is your present trade, profession or occupation ? 7. 8. What is your religion, caste and tribe ? 8. 9. Where are you employed ? 9. 10. What are your educational Qualifications ? 10. 11. What is your age ? 11. 12. Have you ever been convicted by a criminal court, and if so, in what circumstances, and what was the 12. sentence ? 13. Do you now belong to the Indian or Pakistan army the Reserve or the Indian States Forces or the Nepal 13. State Army or the Police Force ? . 14. Have you ever served in the Indian or Pakistan army the Reserve, the Indian Defence Forces or the 14. Nepal State Army ? If so, state in which, the period of Service and the cause of discharge ? 15. Are you willing to be enrolled under the Assam 15. Home Guards Act, 1947. 16. Are you willing to undergo training and to perform 16. Service as specified in the Act and to allow no caste usages to interfere with your duty ? 17. Are you willing to serve until discharge as provided 17. In the Act ? 18. Have you ever previously applied for enrolment under 18. The Act, and if so, with what result ? 19. Have you been dismissed from the Armed Forces 19. or the Police ? 20.Are you willing to be vaccinated or revaccinated ? 20. Signed in the presence of ............... Commandant..................... Declaration on acceptance for enrolment. I solemnly declare that the answers I have given to the questions in this form Are true and that no part of them is false, and that I am willing to fulfill the engagement made. Signature ....... Certified that the applicant understands and agrees to the conditions of enrolment. Signature of enrolling Officer........ . Date of enrolment ..........
