Ksrac Application Form
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3Annexure-III
KSRSAC/17/KGIS/Advt/01/2017
APPLICATION FORM
======================================================
Sl. No. & Name of post Applied :
Domain Specialization (a candidate can apply for not more than 2 domains)
1.
2.
======================================================
Details of Applicant
1. Name
2. Gender
3. Mother’s/Father’s/Husband’s Name
4. Date of Birth ; Age
5. Marital Status
6. Address for Correspondence
7. Permanent Address
8. Languages Known
9. E-mail ID
10. Mobile No.
11. Details of Identification proof
(PAN No / Aadhar No / Passport No)
12. Educational Qualification
Sl.
Degree/
Specialization
Percentage /
University
No.
Certificate
Class & Year of
Passing
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2
3
4
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