Post Applied For* :

Name* :

# As in Matriculation Certificate(Do not use title/salutation e.g. Mr./Ms./Sri/Smt. etc. before Name, Father Name)

Father's/ Husband's Name* :

Date of Birth* :

Physically Handicapped :

Note : if yes then submit an attested certificate of medical board

Catagory of Physically Handicapped :

Gender* :

Category* :

Note : Except unreserved Post it is essential to submit certified copy of caste certificate issued by competent authority

Grand Children of Freedom Fighter :

Email* :

Mobile No.* :

Password* :

Confirm Password* :

Enter Code Shown Above* :

Note :- Fields marked with * are mandatory