You can not apply since last date is passed
कार्यालय कलेक्टर(सामाजिक न्याय एवं निःशक्तजन कल्याण विभाग) जिला नीमच
Fields marked with * are mandatory
Documents to be furnished in original at the time of verification of documents along with one set of photocopies attested by a Gazetted officer and a copy of online submitted application form / Receipt
Personal Details
Applying for Post *
Applicant's Name*
Father's/Husband's Name*
Mother's Name*
Are You an Ex Serviceman*
Date of Birth(DD/MM/YYYY)* Age as on 01/01/2021    - -(yy-mm-dd)
Are You Handicap?*
Are you Domicile of MP? *
MP Employment Registration No. *
Whether candidate was ever arrested and / or convicted by a criminal court or any criminal case is pending against him/her ? *
Do you have active registration in the rehabilitation council of india (R.C.I) *
Type of Handicap?*
Marital Status
Marital Status:* No. of Children
Last child birth date (In DD/MM/YYYY) Is Your Last Child Born Twins
शैक्षणिक योग्यता विवरण(Educational Qualification Details)
Essential Qualification*
Qualification Name of Degree Subject Studied Passing Year University/Board Institute/College Name Percentage (In 00.00 Format) Division/Grade
10th* 10th  
11th/12th 11th/Higher Secondary
Post Graduation
Desirable Qualification-
Other 1
Other 2
Other 3
Work Experience
Are You Serving in State Employees of Government / Corporation / Board / Autonomous organization on the Contract Term/ Nagar sainik? (If so, the applicant appointment order is compulsory to attach)
Do you have required experience?* (If so, the applicant Experience Letter is compulsory to attach)
Communication Address
State* District* Pin No.*
Email id* Mobile No.*   Phone No.  
Permanent Address(Same as Communication Address)
State* District* Pin No.*
Mobile No.* Phone No.
Attach Photo with Signature*
Click here for photo sign format
Read form carefully before submission.
I, hereby declare that the above details are true, correct and complete in all respects to the best of my knowledge and belief and nothing has been concealed and in the event of any information being found false/fabricated or any deficiency in the eligibility of the post being detected at a later stage, my candidature is liable to be summarily cancelled/rejected.