Online Application Form
   
 
Application Form Details
Registration No
Applied For
  
Details of Candidate
Candidate Name
Sex
Father/Mother/Husband
Date Of Birth
Age As On 01-07-2015
Category
  
Details of Mailing Address
Name
Address
 
City
Pin
State
  
Details of Permanent Address
Permanent Address
Name
Address
 
City
Pin
State
  
Detail of Email
  
Details of Qualifying Exam
Qualifying Degree
Year Of Passing
Division
Mark Obtained(%)
University/Board
College/Institute
  
Details of Challan Form
Bank Name
Branch/City
Branch Code
Journal No
Amount in Words(Rs.)
Challan Date(dd/mm/yyyy)
Phone/Mobile No
  
Upload Photo
Attach Your Photo
  
Upload Scan Bank Challan
Attach Your Scan Bank Challan
  
Upload Scan Signature
Attach Your Scan Signature
 
                                                                                       DECLARATION
* All the information given in this application form are true to the best of my knowledge and belief.
                                 If any of the information is found incorrect,my candidature may be cancelled.