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Application Form /

All fields marked with * are mandatory /

1.Exam Details /

1.1

Examination Name

1.2

Examination Post

1.3

District Head Quarter for Exam

1.4.

*
General Subject List (PRE) *

1.5

Aadhar Number

2. Applicants Details/

2.1

Applicants Full Name /

2.2

Applicants Father Full Name/

2.3
2.4

Applicants Mother Full Name/

Category /
*

General/OBC( Creamy Layer ) / / ()


BC (Non Creamy Layer) / ( )
SBC /
SC /

ST /

TSP-SC /

TSP-ST /

Saharia Tribe from Kishanganj&Shahbad Tehsil Of BaranDistt ( Rajasthan )/

( )

2.5

Date of Birth / (dd-mm-yy)*

2.6
2.7
2.8

Gender / *

2.9

Home District ( If Rajasthan) / *

Marital Status /

Male /

Home State (Bonafide Resident ) / *

Female /

Unmarried /

Married /

Rajasthan /

Other /

3. Other Special Categories/


3.1

Category for Disabled Candidates/


*

Blind/Low vision/VH/ /

Hearing impairment /
Loco- motor/ C.P. Disorder / /

3.2

Other Category/ *

Ex-Serviceman /

Outstanding Sportsman/

Departmental Employee /

NCC Cadet /

Govt. service / Panchaytee Raj / Public Sector Employee


3.3

Specific Category for Females/


*

4. Correspondence Details/
4.1

Address/ *

4.2

State / *

4.3

District / *

4.4

Tehsil /*

4.5

City/Village // *

/ /

Widow /

Divorcee /

4.6

Post /

4.7

PIN Code / *

4.8

Email /
(e.g. abc@gmail.com)

4.9

Phone /

4.10

Mobile/

5. Qualification/
Year/

5.1

Secondary /

5.2

Sr. Secondary /

5.3

Graduation / *

5.4

Post Graduation / *

5.5

Subject of Post-Graduation

Division/Grade//

*
*

Passed /
Appearing/
Passed /
Appearing/

6. Additional Qualifications/Specifications / /
6.1

Other Specification/Qualification/ /
Whether you have passed any of the
followingexamination /

6.2

NET/

M. Phil / .
SLET/

Ph.D. / . .

JRF/

B.Ed. or
equivalent/

B.S.T.C. or equivalent /. .. .

6.3

Internship Period /

6.4

Experience /

From Date /
Day

To Date /
Month

Year

7. Identification /
7.1
7.2

Upload Photo/ *
( JPG,JPEG,GIF,PNG image with size less than 200 KB)
Upload Signature / *
( JPG,JPEG,GIF,PNG image with size less than 100 KB)

7.3

Body Mark / *

7.4

Code / *

8. Disclaimer /
I hereby declare that all information made in this application are true, complete and correct to the best of my knowledge and belief. In the event of my
information being found false or incorrect or the ineligibility being detected before or after the Screening Test/Interview, action can be taken against me by the
Commission. I have read the provisions of the relevant rules and the Advertisement carefully and I hereby undertake to abide by them. I further declare that I
fulfill all the conditions of eligibility regarding age limits, educational qualification and required experience etc. prescribed for admission to the Screening
Test/Interview.*

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