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Note: * fields are mandatory.

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Name of Applicant (As per Matriculation/SSC Certificate): Name of Father (As per Matriculation/SSC Certificate) : Sex : Applicant Category :

Date of Birth (As per Matriculation/SSC Certificate) :


Year of Passing in 10+2 Exam: Percentage of Marks in 10+2 Exam: Name of Recognised Board / University : Whether Studied English in 10+2 Std. ?: Whether Studied local Language of the State / U.T. of the Postal Circle concerned or Hindi as a subject atleast in Matriculation Level : Nationality Indian : Mobile No. (Only 10 digits, don't prefix '0') : Email ID :

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Complete Address for Correspondence


Address Line 1 : Address Line2 Address Line 3 : City / Town : PIN Code : State / U.T. :

Post Applied For (


17 (i).1st PAPO Preference (iv).4th PACO RO

) *
(ii)2nd SARMS (v).5th PARLO (iii).3rd PASBCO

Preference of Division / Unit (


18

Examination City (
19 (i). Bangalore

) *
(ii). Mysore

Dharwar

(iii).Mangalore

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