Online Application Form
Basic Information (मूल जानकारी) :
Position Applied (आवेदित पद)
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Personal Information (व्यक्तिगत जानकारी) :
Name of Applicant
(आवेदक का नाम)
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Date of Birth (जन्म तिथि)
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Date of Birth is Required
Gender (लिंग)
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Male
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Father's /Husband's Name
(पिता /पति का नाम)
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Mother's Name (माँ का नाम)
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Mother's Name is Required
Marital Status
(वैवाहिक स्थिति)
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Nationality (राष्ट्रीयता)
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Religion (धर्म)
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Address for Correspondance (पत्राचार का पता) :
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Address Line 3 (पता पंक्ति 3)
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City / Town (शहर/नगर)
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City/Town is required
District (जिला)
State (राज्य)
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--------Select State--------
Andhra Pradesh
Andaman & Nicobar Islands
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Dadar and Nagar Haveli
Daman and Diu
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Goa
Gujarat
Haryana
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Lakshadweep
Madhya Pradesh
Maharashtra
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Nagaland
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Pondicherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Tripura
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Uttar Pradesh
West Bengal
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Pincode (पिन कोड)
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Search Pincode, click here
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Permanent Address (स्थायी पता) :
Same as Address for Correspondance (Click if Applicable)
Address Line 1 (पता पंक्ति 1)
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(Maximum 35 Character)
Address Line 1 is required
Address Line 2 (पता पंक्ति 2)
(Maximum 35 Character)
Address Line 3 (पता पंक्ति 3)
(Maximum 35 Character)
City / Town (शहर/नगर)
*
City/Town is required
District (जिला)
State (राज्य)
*
--------Select State--------
Andhra Pradesh
Andaman & Nicobar Islands
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadar 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
Odisha
Pondicherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Tripura
Uttarakhand
Uttar Pradesh
West Bengal
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Pincode (पिन कोड)
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Contact Information (सम्पर्क जानकारी) :
Phone No. (फ़ोन नंबर)
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Mobile No. (मोबाइल नंबर)
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+91-
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Email ID (ई-मेल आईडी)
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Educational / Professional Qualification (शैक्षिक/व्यावसायिक योग्यता) :
Examination / Degree (परीक्षा/श्रेणी)
Subjects
(विषय)
Board/ Uni. /Inst.
(बोर्ड /वि.वि. / संस्थान)
State (राज्य)
District (जिला)
Year of Passing (परीक्षा उत्तीर्ण वर्ष)
Marks Obtained (प्राप्तांक)
Total marks
(कुल अंक)
Percentage (प्रतिशत)
Documents (दस्तावेज)
*
Select State
Andra Pradesh
Andaman&Nicobar
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadar&NagarHaveli
Daman and Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Lakshadeep
Madya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Pondicherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Tripura
Uttarakhand
Uttar Pradesh
West Bengal
Year
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
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1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
*
Select State
Andra Pradesh
Andaman&Nicobar
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadar&NagarHaveli
Daman and Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Lakshadeep
Madya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Pondicherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Tripura
Uttarakhand
Uttar Pradesh
West Bengal
Year
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
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1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
*
Select State
Andra Pradesh
Andaman&Nicobar
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadar&NagarHaveli
Daman and Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Lakshadeep
Madya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Pondicherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Tripura
Uttarakhand
Uttar Pradesh
West Bengal
Year
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
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1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
Select State
Andra Pradesh
Andaman&Nicobar
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadar&NagarHaveli
Daman and Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Lakshadeep
Madya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Pondicherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Tripura
Uttarakhand
Uttar Pradesh
West Bengal
Year
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
Select State
Andra Pradesh
Andaman&Nicobar
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadar&NagarHaveli
Daman and Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Lakshadeep
Madya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Pondicherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Tripura
Uttarakhand
Uttar Pradesh
West Bengal
Year
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
Experience (अनुभव)
*
In Chronological Order starting from present position backward (वर्तमान स्थिति से पीछे की और अवरोही क्रमानुसार) :
Name of Employer
(नियोजक का नाम)
Post held (धारित पद)
Period (From - To Year) (समयावधि)
Nature of work (कार्य की प्रकृति)
Pay Scale
(वेतनमान)
Documents (दस्तावेज)
()
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
 
Year
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
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1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Year
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
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2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
  
Year
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
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2000
1999
1998
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1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Year
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
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2005
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2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
 
Year
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Year
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
  
Year
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
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1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Year
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
  
Year
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
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2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Year
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
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2003
2002
2001
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1999
1998
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1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
Total Years of Experience (कुल वर्षो का अनुभव)
*
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
25+
Please Select total experience
Months
0
1
2
3
4
5
6
7
8
9
10
11
If the Upload Photo / Signature is not loaded in appropriate place, Your application is liable to get rejected *
Photograph of the Candidate (आवेदक का छायाचित्र)
*
File format jpeg, jpg Only- file size upto 20 - 50kb.
Signature of the Candidate (आवेदक के हस्ताक्षर)
*
File format jpeg, jpg Only- file size upto 10 - 20kb.
DECLARATION
I hereby declare that the particulars furnished by me are true, correct and complete in all respects. I agree & accept without any reservation that at any time, if any of the particulars is found to be incorrect, my candidature and /or my appointment may be terminated without notice.
मैं एतद् द्वारा घोषणा करता/ करती हूँ कि मेरे द्वारा दी गयी सभी जानकरी सत्य, शुद्ध एवं सभी दृष्टियों से पूर्ण हैं| मैं बिना किसी पूर्वाग्रह के इस बात की सहमति व स्वीकृति देता/ देती हूँ कि किसी भी समय यदि कोई भी विवरण असत्य पाया जाता है तो मेरी उम्मीदवारी एवं / अथवा मेरी नियुक्ति बिना किसी सूचना के निरस्त कर दी जाये |
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