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14-10-2015 APPENDIX (D & E)
Appendix D

SELF CERTIFICATION CERTIFICATE (ONE FOR EACH TATTOO) UNDERTAKING BY CANDIDATES (OTHER THAN THOSE FROM TRIBAL COMMUNITIES) WITH PERMANENT BODY TATTOO(S)

1. I, ________________________ (Name of Candidate), Son/Daughter of_____________________ (Name of Father/Mother/Guardian as applicable),

_____________ (Date of Birth) hereby give an undertaking that *I do not have any permanent body tattoo on my body/*I have one/two/three/four/more than four permanent body tattoo(s) as per details given and shown in the photograph(s) at Paragraph 2 below (*strike out whichever is not applicable).

Photograph of Tattoo : (Post card size to be pasted here duly signed by the candidate with name. Please do not use staple pins/clips).

Details of Tattoo
Size of Tattoo    - (In Cms)   
Language    - (If Applicable)   
Significance of Tattoo -(If Applicable)   

2.    I hereby declare that besides the tattoo(s) as declared by me in Paragraph 1 of Appendix D above, I will not have any other permanent body tattoo(s) in future if I am selected to undergo pre-commission training.

3.    The above information given by me is true and correct to the best of my knowledge and belief.

4.    I understand that misrepresentation of any facts/concealment of any information regarding permanent body tattoos will lead to cancellation of my candidature at any stage from commencement of the selection process and I shall be solely responsible for the same.

Place:
_______________________
Date :    (Signature of the Candidate)
Name, Entry & SSB Batch No

Note 1- Each tattoo will have a separate photograph and will be described separately. Additional pages will be used for the purpose and each page will be signed by the candidate.

Note 2- Commandant Selection Centre or Commandants of a Pre-Commission Training Academy are empowered to reject a candidate for non-permissible permanent body tattoo(s).

Appendix E

This certificate will be provided to a candidate appearing for the SSB Interview by the concerned Selection Centre.


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