P.U. (A) 1 92 FOURTH SCHEDULE CERTIFICATION FORM FOR EXTENSION OF PROBATION PERIOD [subregulation 30(3)] Icahnenroetbybececretriftyifiethdatto....b..e.....r..e...c..o...m....m....e..n...d...e..d.....f..o..r.....c..o. nIfdiremntaittyionCairnd sNerov. i c..e.....a...n..d......I....h...e..r..e...b..y.. rweict oh m/ wmi tehnodu t tpheant a l ht yi s* . Tphr eo boaf ftiicoenr i sp enroi to dq u abl ei f i eedx tt oe nbdee rde c of omr m…e n…d…e d… …f o…r mc oonnf itrhm/ yaet iaorn* in service due to the following reasons: (a) non-attendance/non-performance* in induction course; (b) nanodn-raetsteunltdsaonfcteh/eneoxna-mpeinrfaotriomnasn);ce* in examination (Please specify the dates (c) other reasons: (i) .............................................................................................................................................. (ii) .............................................................................................................................................. (iii) .............................................................................................................................................. SNi ag mn aet uo rf et hoef Ht heea Hd eoaf dD oe fp Da retpma er tnmt : e. .n. . .t. :. . .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . MDainteis: t..r..y../..D....e..p...a..r..t..m....e..n...t..:.…....…...…....…....…...…....….................................................................................................................... * delete where inapplicable
RkJQdWJsaXNoZXIy MTc1NDAy