District Applied For* :
Name of Applicant* :
# As in Matriculation Certificate(Do
not use title/salutation e.g. Mr./Ms./Sri/Smt. etc. before name)
Father's Name* :
# As in Matriculation Certificate(Do
not use title/salutation e.g. Mr./Ms./Sri/Smt. etc. before father's name)
Mother's Name* :
# (Do not use title/salutation
e.g. Mr./Ms./Sri/Smt. etc. before mother's name)
Date of Birth* :
# As in Matriculation Certificate
State of Domicile * :
Category* :
Note : Except unreserved Post it is essential
to submit certified copy of caste certificate issued by competent authority
Home District* :
Gender* :
Year of Birth As Per Aadhaar * :