| Gender |
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| Candidate's First Name | |
| Middle Name | |
| Last Name | |
| Father's Name | |
| Mother's Name | |
| Address | |
| State |
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| Mobile No.(Mandatory) * |
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| Landline No. |
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| Date of Birth |
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| Height |
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| Qualifications |
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| Service / Business |
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| Years in Service/ Business |
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| Name of Firm / Department |
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| Designation |
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| Specify monthly Income, if earns (Rs.) |
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| Disability |
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| Describe Disability (if any) |
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Marital Status |
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Email Address |
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Any Other Detail you want to share
(if any) | |
| Fee Depositing Option |
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| Upload Photo
(Passport Size) |
please use 113 x 143 pixels size and .jpg image. Not more than 100 KB |
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