FOR OFFICE USE ONLY
DATE:
HOME:
MIG:
RES:
USE CAPITAL LETTERS ONLY
NAME OF THE CANDIDATE:
FATHER’S / HUSBAND’S NAME:
ADDRESS:
VILL /CITY:
POST:
P.S:
DIST:
PIN:
AADHAR CARD NO.:
MOBILE NO.:
E-MAIL:
SEX:
DATE OF BIRTH:
CATEGORY:
MEDIUM:
EDUCATIONAL QUALIFICATION
EXAM PASSED
NAME OF THE BOARD / UNIVERSITY
SUBJECT
ROLL NO
REGN NO. WITH YEAR
YEAR OF PASSING
TOTAL MARKS
MARKS OBTAINED
% of MARKS
M.P.
H.S.
GRADUATION(HONS. / GEN)
MASTERS
CHOICE OF METHOD SUBJECTS
FIRST:
SECOND:
Self Declaration: - I hereby declare that the information given in the form is accurate to the best of my knowledge.
IMAGE AND SIGNATURE UPLOAD
Your Image:
Signature of the Candidate:
ATTACHED BELOW DOCUMENTS
Mp Admit:
Mp Marksheet:
Hs Marksheet:
Grade Marksheet:
Reg Certificate If BU:
Masters marksheet:
Aadhar Card:
Cast Certificate(If any):
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