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Name of Candidate(required)


Father's Name(required)


Email Id(required)


Mobile No(required)


Highest Qualification


Social Category / सामाजिक वर्ग
General / सामान्य SC / अनुसूचित जाति ST / अनुसूचित जनजात OBC


Type of Gender
Male Female


Date of Birth / जन्मतिथि(DD/MM/YYYY)


Work Experience


Current Location
Village / गांव

Panchayat & Block

Post / डाक

District / जिला

State / राज्य

Pin Code / पिन कोड

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I hereby declare that information given above is true to the best of my knowledge. Any information, that may be required to be verified, shall be provided immediately before the concerned authority.

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