Prescribed Format For Applying

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Prescribed Format for applying
1.
Name (in BLOCK letter) Mr. /Ms. /Miss.____________________________________
2.
Father’s Name __________________________________________________________
3.
Mother’s Name _________________________________________________________
4.
Date of Birth ___________________________________ Age ____________________
5.
Nationality ____________________ Married / Unmarried ______________Sex _______
6.
Postal Address __________________________________________________________
_______________________________________________________________________
__________
Phone/Mob. No.______________E.Mail______________________________________
7.
Permanent Address _______________________________________________________
_______________________________________________________________________
_______________________________________________________________________
8.
Do you belong to Scheduled Caste/Scheduled Tribe/ OBC (Central List), PwD (VH, OH,
HH) if yes, please indicate the category & attach a photocopy_____________________
9.
Are you Ex-Serviceman/Disabled Defence Personnel/Development of Defence Personnel
killed in action? If so, attach Certificates______________________________________
10. Educational qualifications (Secondary onwards):
Examination
Year of
School/University
Division %age
Subject
Passed
Passing
1

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