To,

The Sub-Divisional Officer

Bharat Sanchar Nigam Ltd,
Ghanatti, Distt. Shimla.

Sub: - Application for Change Tel. No. 2790183 into Plan 250 -reg.

Sir,

With due respect I beg to say that the Telephone No. 2790183 which is installed at my
home Vill.DHAMI (GHANATTI) Teh. & Distt. Shimla. (GHANATTI Exchange) In this regard
I want change the Telephone No 2790183 into Plan 250.

Thanking you.

Your faithfully

(Dhani Ram Sharma)

Vill. DHAMI (GHANATTI)
Dated: - Teh. &. Distt. Shimla.
 ATTESTATION FORM

WARNING:

I. The furnishing of false information of suppression of any factual information in

the Attestation form would be a disqualification, and is likely to render the candidate
unfair for employment under the Government.

II. If detained, convicted, debarred etc. subsequent to the

completion and submission and submission of this form, the
details should be communicated immediately to the Central ATTESTED PASSPORT
Water Commission or the authority to whom the attestation PHOTOGRAPH
form has been sent earlier, as the case may be, failing which it SHOULD BE PASTED
will be deemed to be a suppression of factual information. HERE.

III. If the fact that false information has been funished for that there has been suppression
of any factual information in the attestation form comes to notice any time during the
service of a person his services would be liable to be terminated.

1. Name in full (in block letters) with aliases, Surname Name

if any, (please indicate if you have added or KUMAR SACHCHIDANAND
dropped in any stage any part of your name
or surname).

2. Present address in full (i.e. Village, Thana C/O: - Executive Engineer, Snow
And District, or House Number Hydrology Division, Central Water
Lane/Street/Road and Town). Commission, Block No.29 SDA Complex,
Kasumpti, SHIMLA (HP)

3. Home address in full (i.e. Village, Thana&
(a) Distt. Or House Number, Lane/Street/Road
and Town and name of Distt. Head Quarter.)
(b) If originally a resident of Pakistan, the
address in that country and the date of
migration to Indian Union.
S/O: - Sh. Ramanand Mahto, Vill.
-Nauadih, P.O.-Rabai, P.S.- Sikandra,
Distt. - Jamui, State – Bihar, Pin Code
No.- 811315.
N.A.

4. Particulars of places (with periods, or residence where you have resided fro more than one year at
a time during the proceeding five years. In case of stay abroad (including Pakistan particulars of
all places where you have resided for more than one year after attaining the age of 21 years
should be given.

Contd…page 2/-
 TO BE FIELD BY THE OFFICE

Name, Designation and full address of
appointing authority.
Post for which the candidate is being
considered
Superintending Engineer (c) O/o: - The Chief
Engineer, (IBO), Central Water Commission,
4th Block, 6th Floor, Kendriya Sadan, Sector-9
Chandigarh-160017
Appointed as Lower Division Clerk.

Date: _____________ ____________________

Place: SHIMLA Signature
 7.
a) Date of birth: 25 - 04 – 1988.
b) Present age: 21 Years.
c) Age at Higher sec: 17 Years.

8.
a) Place of birth, Distt. & VILL. – NAUADIH, DISTT. : - JAMUI
State in which Situated: STATE: - BIHAR

b) Distt, State to which you belong: DISTT. – JAMUI, STATE – BIHAR

c) District and State to which you DISTRICT: - JAMUI, STATE: - BIHAR

Father Originally belong:

9.
a) Religion: INDIAN
b) Are you a member of SC/ST?
Answer ‘yes’ or ‘No’ and if the answer
Is ‘yes’ State the name thereof.

10. Educational qualification showing places of education with years in Schools and
Colleges since 15th Years of age.

Name of School / Date of entering Date of leaving Examination

College with address. passed.
Janta High School,
Aligang, Distt. - Jamui, 2002 2003 Matriculation
State – Bihar.

Kisan College, 2003 2008 Inter & Graduation

Sohsarai, Distt. -
Nalanda, State - Bihar.

11.
a) Are you holding or have any time held a appointment under the Central or State Govt, or
a semi Govt. or a Quasi-Govt. body or an autonomous body, or a public undertaking or a private
firm or institutions ? If so, give full particulars with dates, or employment, upto date:

Contd…page 4/-
 Period Residential address in full (i. e. Name of the Distt. Head
Village, Thana & Distt. Or House Quarter of the place
No./Lane/Street/Road & Town). mentioned in the proceeding
column.
C/o:- Prof. Suresh Prasad, Vill+Post-
From To Ashanagar (Pacci gali), PS:-Sohsarai H.Q.- Biharsharif
2003 2008 Dist.- Nalanda, Pin No. - 803118 Place - Ashanagar
5.
Name Nationali Place of Birth Occupation (if Present postal Permanent
ty employed give address (if dead Home address.
(by birth designation give address).
& or by official
domicile) address).
Sl No. 1. 2. 3. 4. 5. 6.
I. Name in full, aliases if Vill: - Govt. C/o Executive Vill – Nauadih,
any) Indian Nauadih, employee Engineer, SHD, PO – Rabai,
Sachchidanand Kumar Dist: - Jamui LDC, O/o Ex CWC, Distt- Jamui
(Bihar) Engineer, Snow Block No29, Pin No.-811315
Hydrology SDAcomplex, (Bihar)
Division, Kasumpti,
Kasumpti Shimla
II. Mother -do- -do- House Wife Vill- Nauadih, -do-
Smt. Yashoda Devi PO-Rabai,
Distt-Jamui
(Bihar)
III. Wife/Husband NA NA NA NA NA
IV. Brothers (5) Indian Vill: Studying Vill- Nauadih, Vill- Nauadih,
1) Gautam kumar Nauadih,Dist PO – Rabai, PO – Rabai,
2) Niranjan Kumar : Jamui Distt- Jamui Distt- Jamui,
3) Manish Kumar (Bihar) (Bihar) Pin No.-
4) Shashikant Kumar 811315 (Bihar)
5) Ranjay Kumar
V. Sister -do- -do- -do- -do- -do-
Smriti Kumari

6.
a) Information to be furnished with regard to Son(s) and /or Daughter’s in case they
Are studying /living in foreign country.

Nationality (by Place of Birth Country in which studying /living Date from which studying/living
birth /or by with full address in the country mentioned in
domicile) previous column.

NA NA NA NA

b) NATIONALITY: INDIAN
Contd…page 3/-
 Annexure - II

The Demographic information of New entrant for allotment of PPAN No.

1. Name : Sachchidanand Kumar

2. Designation : Lower Division Clerk

3. Date of Birth : 25 – 04 – 1988

4. Date of Joining : 06 – 04 – 2009 (AN)

5. Basic Pay : Pay Rs.5880 +G.P. 1900 =Rs. 7780 /-

(6) Nomination Details

Sl. Name of Nominee Relation with the Date of Birth Amount of

No. Govt. Servant Share
1. Sh. Ramanand Mahto Father 15.03.1967 Full

Alternate Nominee
2. Smt. Yashoda Devi Mother 02.02.1969 Full

Government of India
 Central Water Commission
Snow Hydrology Division
Block No. 29, SDA Complex,
Kasumpti, Shimla – 9
No.CWC/ SHD/PF – 455/ Dated. /06/2009

To,

The Deputy Commissioner,

Distt. :- Jamui (Bihar State )

Sub:- Verification of Character and antecedents of Sh. Sachchidanand Kumar on

his appointment through SSC-2006.

Sir,

It is to intimate that Sh. Sachchidanand Kumar S/O – Sh. Ramanand

Mahto, Resident of Vill. – Nauadih, P.o. – Rabai, P. S. – Sikandra, District –
Jamui (BIHAR) has been appointment as LDC vide o/o No 04/02/03-CE
(IBO)/Vol-IV/1092-98 dated 17.03.09 and joined this office on 06.04.2009 (AN).
(Copy of appointment letter enclosed for ready reference.

As per the official procedure the character and antecedents of the New
appointee have to be verified. Accordingly the Attestation Form duly filled in
duplicate is enclosed herewith for verification of character & antecedents of Sh.
Sachchidanand Kumar and issue of certificate to this effect.

One copy of the Attestation Form alongwith requisite certificate may

please be returned to this office for record.

Yours faithfully

( S.S. BAKSHI )
Executive Engineer

Government of India
Central Water Commission
Snow Hydrology Division
 Block No. 29, SDA Complex,
Kasumpti, Shimla – 9
No. SHD/ 103 / Dated. /06/2009

To,

The Superintending Engineer, (c)

O/o The Chief Engineer (IBO)
Central Water commission Kendriya Sadan,
Block No. IV, 6th Floor, Sector – 9A,
Chandigarh.

Sub: - Upgradation of Pay Scale of Work Sarkar Grade II (3050 – 4590) to Rs.
3200-4900.

Sir,

Reference is invited to your letter No. 04/05/CE (IB) / 1943-46 dated 02-
06-2009. In this, connection, it is to state there is no Post of Work Sarkar Gr. –II filled /
Sanctioned in respect of Snow Hydrology Division Shimla.

Hence the information on the above cited subject may please be treated as
NIL in respect of this office.

Yours faithfully

Executive Engineer

Central Water Commission

Snow Hydrology Division
Block No. 29, SDA Complex, Kasumptit, Shimla – 9 (HP)
Telephone: 0177-2623026; 2626236 FAX: 2625253
 File No.: SHD/ Dated. /06/2009

OFFICE ORDER

Sanction of Rupees Seven Thousand Six Hundred & Eighty only is hereby accorded towards the
reimbursement of tuition fee/ Children Education Allowance to sh. Rajesh Kumar Saini for the academic
year 2007 – 08 & 2008 – 09 as per GOI, DOPT O. M. No. 21011/3/88 – Estt. (Allow) dated 17.10.88, as
amended from time to time including O.M. No. 12013/1/90- estt. (Allow) dated 08.05.92; No. 21017/1/97
– Estt. (Allow) dated 12. 06. 98 and vide O.M. No. 12011/03/2008 – Estt. (Allow) dated 02.09.08, as per
the recommendations of the 6th Central Pay Commission under “Children Education Allowance Scheme”
w.e.f. 01.09.2008.

S. Name of Child Name of Date of Class in Period Tuition fee Reimbursement Total Amt.
No. School Birth which actually of tuition Fee in Rs.
studying paid. (Rs) admissible (Rs)
1 Master Ayush Prabhu Dayal 09.09.98 4th 04/07 to 1300x12= 40/- p.m. 40 x 12
Saini S/O Public 03/08 15600.00 =480.00
Sh.R.K.Saini School Delhi
(A) Total Amount admissible of the session 2007-08 480.00
5th 04/08 to 1600x5 = 40/- p.m. 40 x 5 =
08/08 8000.00 200.00
09/08 to 1600x7 = 1000/- p.m. 1000 x 7
03/09 11200.00 =7000.00
(B) Total amount admissible for the session 2008 - 09 7200.00
Total (A+B) 7680.00
(Rupees Seven Thousand Six Hundred & eighty only)

Certified that the terms and conditions as stipulated in the above-cited O.M. have been complied with by
the employee.
It is also certified that the Prabhu Dayal Public School, Shalimar Bagh, New Delhi – 88 is a recognized
by educational authorities of Delhi Administration.

(S.S. Bakshi)
Executive Engineer
Copy to: -
1. SHD Accounts Branch
2. Bill Clerk, SHD, CWC.
3. Sh. Rajesh Kumar Saini

Government of India
Central Water Commission
Snow Hydrology Division
Block No. 29, SDA Complex,
 Kasumptit, Shimla – 9 (HP)
Telephone: 0177-2623026;
2626236 FAX: 2625253

No.: SHD/PF – 446/ Dated. /06/2009

To,

The Asstt. Accounts Officer.

O/o The Pay and Accounts Offices,
Central Water Commission,
Sewa Bhawan, R.K. Puram,
New Delhi.

Sub: - Verification of Service of Sh. Dhani Ram Sharma JE.

Reference is invited to your letter No. WR/PAO/CWC.PN/S-V/2008-09/1602 dt.

27-05-09 (copy enclosed) vide which Service Verification Certificate in respect of Sh. Dhani
Ram Sharma JE has been, issued by your office w.e.f. 09-01-84 to 28-02-09 due to oversight,
where as it should be w.e.f. 31-12-1983 to 28-02-09 as mentioned in this office letter No.
CWC /SHD/PF–446/286-88 dt 07-03-2009 (copy enclosed) while forwarding the service
verification case of the said official.

It, therefore, requested that the service verification certificate may be corrected as
31-12-83 to 28-02-09. However copy of 1st page of the Service Book is also enclosed
herewith for reference please.

Yours faithfully

(S.S.Bakshi)
Executive Engineer

Enclosed: - As above