Fri Apr 26 2024 | IST
STEP 1 - APPLICATION FORM


ALL * FIELDS ARE MANDATORY

*ADVERTISEMENT NO



*CANDIDATE NAME



(Name as recorded in the Matriculation/Secondary Examination Certificate.
Do not use Mr./Shri/Dr etc.)


*FATHER NAME



*DATE OF BIRTH



(DOB SHOULD BE SAME AS IN 10TH MARKSHEET)


*EMAIL ID



*MOBILE NUMBER



ALTERNATE MOBILE NUMBER



*AADHAR NUMBER



EMPLOYEE STATE INSURANCE NO



*PAN NUMBER



*CATEGORY



AMOUNT TO PAY
 


*NATIONALITY



*OTHER NATIONALTY



*RELIGION



*GENDER



*MARITAL STATUS



CURRENT ADDRESS

*ADDRESS



*CITY



*STATE



*PIN CODE



PERMANENT ADDRESS

SAME AS CURRENT ADDRESS

*ADDRESS



*CITY



*STATE



*PIN CODE