Application Form
A) Personal Details
Enter Name
Date of Birth
Mobile Number
Category
Father Name
Gender

Email ID

Status:

B) Communication Address Details
Communication Address
District
State

Pin Code
C) Academic Details
SSC/ 10th*
Month and Year of Completion:
HSC/ 12th*
Month and Year of Completion:
Bachelor’s Programme*
Name of College:
Are you in your final year of the programme?
Master’s Programme*
Name of College:
Are you in your final year of the programme?
Work Experience
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10th Board Name:
Marks Obtained:
12th Board Name:
Marks Obtained:
Name of University:
Degree Name:
Month and Year of Completion:

Name of University:
Degree Name:

Month and Year of Completion:
Experience (In Months)