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Recruitment
Application Form
Personal Information
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1. Post Applied for
--Select--
Paryaavaran Mitra
Block Co-ordinator
Sub-District Co-ordinator
District Co-ordinator
2. Name of the candidate
3. Father's Name
4. Mother's Name
5. Permanent Address
Garam
Post
Tahsil
Jila
Ph. no.
Mobile no.
Pin Code
6. Present Address
Garam
Post
Tahsil
Jila
Ph. no.
Mobile no.
Pin Code
7. Marital status
8. Date of birth
Educational Qualification
Examination Passed
Examination Body/Board/University
Duration of Course
Year of Passing
Marks Obtained
Total Marks
Percentage
Technical Qualification
Examination Passed
Examination Body/Board/University
Duration of Course
Year of Passing
Marks Obtained
Total Marks
Percentage
11. Experience if any
Upload Document
12. Upload PAN Card:
13. Upload Aadhar Card:
14. Upload Driver's License (DL):
15. Upload 10th Mark Sheet:
16. Upload 12th Mark Sheet:
17. Upload Graduation Certificate:
18. Upload Post Graduation Certificate:
19. Upload Photo:
Declaration:
I certify statements made by me above are true, complete and best of my knowledge.
Place:
Date:
Signature of Candidate:
Upload Signature:
Submit
