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Application Form 2

This document is an application form that requires candidates to fill in personal information such as name, date of birth, contact details, and educational qualifications. It includes sections for gender, marital status, and category, along with a declaration of the accuracy of the provided information. The closing date for submission is specified as February 7, 2019.

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warriorkaran7329
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12 views1 page

Application Form 2

This document is an application form that requires candidates to fill in personal information such as name, date of birth, contact details, and educational qualifications. It includes sections for gender, marital status, and category, along with a declaration of the accuracy of the provided information. The closing date for submission is specified as February 7, 2019.

Uploaded by

warriorkaran7329
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Application Form

(all information should be in BLOCK LETTER and tick & fill in the correct boxes)
Closing
date = 07.02.2019

Post applied for PASSPORT


SIZE PHOTO
OF THE
Name of CANDIDATE
candidate
Father name
Date of birth (as
recorded in class Xth
examination)
Aaddhar number
Language
Nationality
Contact number for
present location
Village

Address District

State Pincode

Gender Male Female Others

Marital Status Married Unmarried

Name Marks Time/year


SL.NO Name of the Qualification
Centre/ Board Scored Percent /distance covered
1
2
3
4
5
6
7

Category General OBC ST SC

Employment Reg. No.


Employment address
The above said information is correct and true to the best of my knowledge.
Date
Place Signature of
Candidate

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