REGISTRATION FORM

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NOTE: THE DETAILS BELOW SHOULD BE ENTERED AS IT APPEARS IN THE MATRICULATE CERTIFICATE (CLASS 10TH CERTIFICATE) OR EQUIVALENT CERTIFICATE AWARDED TO YOU. THERE SHOULD NOT BE ANY VARIATION IN FORM OR SPELLING.

Application No *
select post*
APPLICANT FULL NAME*
DATE OF BIRTH*
0 -Years   0 -Months   0 -Days  (Age: Auto Calculated value AS ON 11th April 2021)
Email-ID*
MOBILE NUMBER*
Gender*
MARITAL STATUS *
FATHER'S/HUSBAND'S NAME*
MOTHER'S NAME
CATEGORY*
PERSON WITH DISABILITY (PWD)*
FEE AMOUNT*
AADHAR NUMBER
ARE YOU EX-SERVICEMEN*
Total EX-SERVICEMEN experience (Years)*
NATIONALITY
CURRENT ADDRESS
ADDRESS*
CITY*
STATE/U.T.*
PINCODE*
PERMANENT ADDRESS     Same as Current Address
ADDRESS*
CITY*
STATE/U.T.*
PINCODE*
PREFERRED CITY FOR EXAM*
CITY 1
CITY 2
CITY 3
RECENT PASSPORT SIZE COLORED PHOTOGRAPH*

Sample Photograph
(.jpg upto 100kb)
CANDIDATE SIGNATURE*

Sample Signature
(.jpg upto 100kb)
CAPTCHA*
* I hereby declare that all the particulars stated in the application form submitted by me through online, are true to the best of my knowledge and belief. If at any stage during the entire process of recruitment including examination and interview if it is found that the information furnished in the online application and declaration form is false/fake/misinterpreted/incorrect or myself does not satisfy the eligibility criteria for the post applied, my candidature will be cancelled in addition to any other action as may be deemed fit.