Application Form

Application Number *

Upload Photo *

Passport size photo, jpeg, jpg, png, less than 50 KB, file name should be the Application number

First Name *

As per the SSLC / equivalent examination marks card

Last Name *

Father's / Guardian's Name *

Mother's Name *

Date of Birth *

Gender *

Email Id *

Candidate Phone Number *

Present Address *

Permanent Address *

Current District *

Permanent District *

Current State *

Permanent State *

Current Pin Code *

Permanent Pin Code *

Candidate Phone *

Father/Guardian Phone *

Email Id *

Aadhar Number