Application Form 1.
Post applied for ....................................................................................................
2.
Name in full (In Block Letters) Mr./Miss./Mrs........................................................................................................
3.
Gender:
4.
Marital Status: Married
5.
Category : GEN
6.
Father’s / Husband’s name..............................................................................................................
7.
Date of birth (According to high school/ metric certificate)………………………………………
8.
Age as on 28-12-2023
Male
Female
Years
Unmarried
OBC
Affix signed recent passport size photograph
SC/ST
Month
Any other
Days
9. Address: 9.1 Correspondence ................................... ...................................... ............................... ................. ...... ............ ................................. ........................ ............................ .............................. ......... .......... ....... ... ...... .............. .......... ................. ................. .................... ............... Pincode .............. ........ Tel./ Mobile No..................................................... Email....................................................................... 9.2 Permanent ......................................................................... ....................................... ................. ........ ............... ....................................................... ...................................................................... ................. ....................................................................................................... Pincode ........................ Tel./ Mobile No..................................................... Email....................................................................... 10. Educational/ Professional/ Technical Qualifications (Commencing with Highest qualifications upto matriculation/ 10th Board) Exam Passed
Division / Grade and % age of Marks
Year of passing
Duration of the Degree/ Diploma
1
Board/ University
Subject (S)