Recruitment Notice No. Published Date-
Select Post Programme
Do not use MOBILE/ TAB devices to fillup Application Form. (Check Post Name & Programme Name carefully before starting)
1. Applicant's Personal Details         All Fields are Mandatory !!
NAME OF THE APPLICANT
FATHER'S/ HUSBAND NAME
MOTHER'S NAME
ARE YOU MARRIED
GENDER
CATEGORY:
CASTE CERTIFICATE NO.:
PHYSICALLY CHALLENGED
MINORITY
NATIONALITY
DATE OF BIRTH
Day Month Year
AGE AS ON  
Do you have a 2 wheeler Driving License ? Driving License Number :-
Registration Number, if any
(MBBS/ Nursing/ Para-Medical)
Degree Name (Use Abbreviation) : Registration Number : Issuing Authority (Use Abbreviation) :
2. Communication Details
House No /Street P.O. Ward No.
Village / Town Block/Municipality PS
District State PIN
PRIMARY MOBILE NO.
ALTERNATE MOBILE NO.
EMAIL ID.
3. Essential Qualification and Others
Examination Passed

(Use Abbreviation)

 Year of Passing Subjects

(Excluding Optional :: Use Abbreviation)

 Board/ University/ Institutions

(Use Abbreviation)

 Exam Type Total Marks

(Exl. Optional)

 Marks Obtained

(Exl. Optional)

 % of Marks
Madhyamik (10th) No need to mention subject
HS (10+2)
    Mention "Hons" or "Pass" after the name of Graduation Course.   Example :- B.A. (Pass) / B.A. (Hons) / B.Sc (Hons) / B.Sc (Pass).....
4. Computer Qualification
Examination Passed

(Use Abbreviation)

 Board/ Name of the Institutions

(Use Abbreviation)

 Year of Passing Course duration
5. Experience Details
Sl No Name of the Employer

(Institution/ Dept. Name :: Use Abbreviation)

 Institution Status (Govt/Pvt) Designation

(Use Abbreviation)

 Dt. of Joining

(DD/MM/YYYY)

 Dt. of Leaving

(DD/MM/YYYY)

 Total Months
1
Till Date
2
Till Date
3
Till Date
4
Till Date
5
Till Date
6. Declaration & CAPTCHA Security