Post Applied For :	--Select--
Name :		}	# As in Matriculation Certificate(Do not use title/salutation e.g. Mr./Ms./Sri/Smt. etc. before name)
Father's/ Husband's Name :
Date of Birth :
Physically Handicapped :		Note : if yes then submit an attested certificate of medical board
Gender :	-Select- Male Female Other
Category :	-Select- GEN EBC BC SC ST BCW	Note : Except unreserved Post it is essential to submit certified copy of caste certificate issued by competent authority
Email :
Mobile No. :	-
Password :
Confirm Password :
Enter Code Shown :
Note :- Fields marked with * are mandatory