APPLICATION FORMAT

Name : Photo

Date of Birth :

Father’s/ Guardian’s name :

Address for correspondence :

Permanent address :

Nationality :

State (only NE states) :

Marital status :

Category ST/SC/OBC/G/PWD:

Mobile No. (Mandatory) :

Educational qualification (attested copies of documents required)

Sl.No Examinations passed University/ Board Year of Passing % of marks
.

Experience (in any) (attested copies of certificate required)

Date: Signature of the Applicant

Place: