ENQUIRY FORM ENQUIRY FORM

KARMANYA INSTITUTE KARMANYA INSTITUTE

FOR CIVIL SERVICES FOR CIVIL SERVICES
nd
OFFICE S-1, 2 Floor, Malwa Tower OFFICE S-1, 2nd Floor, Malwa Tower
Bhawarkuan Main Road, Infront of Sundaram Complex Bhawarkuan Main Road, Infront of Sundaram Complex
INDORE (M.P.) INDORE (M.P.)

Counseller’s Name ................................ Counseller’s Name ................................

(PLEASE FILL IN CAPITAL LETTERS) Date : ........................ (PLEASE FILL IN CAPITAL LETTERS) Date : ........................
Name : ................................................................................................ Name : ................................................................................................

Father’s Name : .................................. Occupation : Father’s Name : .................................. Occupation :

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DOB : ..................... DOB : .....................

Medium : English Hindi Medium : English Hindi

Address : Address :

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.................... District : ........................ Pin Code : .................... District : ........................ Pin Code :

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Exam Passed Institution/Board Year Subjects Percentages Exam Passed Institution/Board Year Subjects Percentages

UG/Graduate/PG UG/Graduate/PG

Place Place
Signature of Candidate Signature of Candidate
Date Date