. WORT UTHR Preerea Pafeca wd caer Vay WORT VAAN wprig— $93 / afta. / TH-TI-76 / (Welt aTHl-2022) / 2024 /F2. Pei Of Jo3}e o2Y oe ore ae Bar ara, aoe & raters sneer wHie: we 7 (12) Hat “@ /Occu.Thei/Med & Health/2021-22/635 feria 27.02.2024 @ wid A WHET aerater state Stee omaitiat a efit fran ora 8 fe a sis Peter faeed oa (Option form) 4 ai gfeed TENET firer aray 3 fara 4 Email:-medicallt103@gmail.com @ arai @ fiviarn Bat a gad vA ang fra él fear ore 7 wprig—$—33 / afta sh / eH—TA-76 / (Re aTe-2022) / 2024 972. Fette:— ol Jez Joo2y fete: erat ve araeerp ordandt oq Hf B— 4, fare were, Heri aah, fafa eaReT Ga vow FANT, oT GIGR! 2. fat ahr, sfeRter qer wea, fafeca TaRea va yoo AMT, WSU wag | 3, ST UR afta, fafa ws waRea (qu—3) fort, WoReTT GAGE! ara) wae wr aT aia ax See fH sar ones wt femfia same aacits | 5. area saaafta sitepera fixe svafiah er yee | 5 6. ea warectt | _— > Freee (errerafard) faftocar ud eared Bary WORE TGRRIGA UHR Preenea face vd cares Wary WRG AGN Option Form Finally Selected Occupational Therapist Candidate Details | Name of Applicant Father's Name Gender | MERIT No. Roll No. Allotted Cat./S.TYPE DOB | | PH/WIDOW/DIVORCEE Option's of Districts for the Posting fa | j2 aS Aerie erat Sf A Age Rees we Gey Ae Gia wat 8g TU WOR ENT erate snare yfkerat Aer TEA wed F fast A Geers wx fren OT Tea BI Date.. Applicant Signature Mobile no... Application ID...