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Candidate Location

State*

District*

Block*

G.P. Name *

Address*

Phone Number*

Pin Code*

Email*

Nearest H.S. school name*

Candidate Information

Name*

Mother's Name*

Maritul Status

Nationality*

Religion*

Date of Birth*

Post Applied for*

Father's Name*

Gender*

Husband's Name

Qualification*

Caste*

Applied District*

Upload Photo*

Academic Qualification

Class Degree	Board Name	Year of Passing	Subject	Total Marks	Obtained Marks	% of marks	Division / Grade	Upload Document

Remarks

Declaration
I do hereby declare that the above information or statement given by me is true to the best of my knowledge, if any statement showing false so my candidature will be cancelled without any notification.