NORMINATION FORM FOR S.S.C.P 1. Programme Title : 2. Name of the District : 3. Venue : 4. Programme Date : 5. Name of the Candidate : ( in capital ) 6. SC/ST/BC/OTHERS : 7. Date of Birth : 8. Designation : 9. Pay Scale : 10. Basic Pay : 11. Academic Qualification : 12. Professional Qualification : 13. Training already attended at ATI, Aizawl : 15. Computer Knowledge : Phone No: Office _____________________ Residence __________ BFIEF DESCRIPTION OF DUTIES OF THE OFFICER Signature TO BE FILLED IN BY THE SPONSORED AUTHORITY Certified that (a) The particular given above are correct (b) Due care has been taken of the training needs of the officer nominated with reference to this/future duties viz-a-viz the contents of the course. (c) The officer, if selected, will be relieved on full time basis for attending the programme. Signature & Seal of Controlling Authority
