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Form of certificate to be submitted by Central Government Civilian Employees seeking age – relaxation (To be filled by the Head of the Office or Department in which the candidate is working) (Please see Para 4D of the Notice) It is certified that Shri/Smt/Km.____________________________ is a Central Government Civilian employee holding the post of ________________________ in the pay scale of Rs.________________ with 3 years regular service in the grade as _____________________. Signature_________________________ Name____________________________ Office Seal________________________ Place: __________________ Date:__________________ (*Please delete the words which are not applicable)
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