Tue Sep 26 2023
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IST
STEP 1 - APPLICATION FORM
ALL * FIELDS ARE MANDATORY
*
ADVERTISEMENT NO
--Select--
ADVERTISEMENT NO. 375
ADVERTISEMENT NO. 376
ADVERTISEMENT NO. 377
ADVERTISEMENT NO. 378
ADVERTISEMENT NO. 379
*
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
--Select--
GENERAL
OBC
SC
ST
PH
EWS
EX-SERVICEMEN
AMOUNT TO PAY
*
NATIONALITY
--Select--
INDIAN
OTHERS
*
OTHER NATIONALTY
*
RELIGION
*
GENDER
--Select--
MALE
FEMALE
OTHER
*
MARITAL STATUS
--Select--
MARRIED
UNMARRIED
WIDOW/DIVORCEE
CURRENT ADDRESS
*
ADDRESS
*
CITY
*
STATE
--Select--
ANDAMAN AND NICOBAR ISLANDS
ANDHRA PRADESH
ARUNACHAL PRADESH
ASSAM
BIHAR
CHANDIGARH
CHHATTISGARH
DADRA AND NAGAR HAVELI
DAMAN AND DIU
DELHI
GOA
GUJARAT
HARYANA
HIMACHAL PRADESH
JAMMU AND KASHMIR
JHARKHAND
KARNATAKA
KERALA
LAKSHADWEEP
MADHYA PRADESH
MAHARASHTRA
MANIPUR
MEGHALAYA
MIZORAM
NAGALAND
ORISSA
PONDICHERRY
PUNJAB
RAJASTHAN
SIKKIM
TAMIL NADU
TRIPURA
UTTAR PRADESH
UTTARAKHAND
WEST BENGAL
TELANGANA
*
PIN CODE
PERMANENT ADDRESS
SAME AS CURRENT ADDRESS
*
ADDRESS
*
CITY
*
STATE
--Select--
ANDAMAN AND NICOBAR ISLANDS
ANDHRA PRADESH
ARUNACHAL PRADESH
ASSAM
BIHAR
CHANDIGARH
CHHATTISGARH
DADRA AND NAGAR HAVELI
DAMAN AND DIU
DELHI
GOA
GUJARAT
HARYANA
HIMACHAL PRADESH
JAMMU AND KASHMIR
JHARKHAND
KARNATAKA
KERALA
LAKSHADWEEP
MADHYA PRADESH
MAHARASHTRA
MANIPUR
MEGHALAYA
MIZORAM
NAGALAND
ORISSA
PONDICHERRY
PUNJAB
RAJASTHAN
SIKKIM
TAMIL NADU
TRIPURA
UTTAR PRADESH
UTTARAKHAND
WEST BENGAL
TELANGANA
*
PIN CODE