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*
are mandatory
Instructions
Documents have to be provided in original at the time of verification of documents along with one set of photocopies attested and a copy of online submitted application form / Receipt also have to be provided.
व्यक्तिगत विवरण (Personal Details)
आवेदित पदवर्ग का नाम,जिस हेतु आवेदन कर रहे है (Post Applied)
*
आवेदक/आवेदिका का पूरा नाम (Applicant's Name)
*
As per GATE Score card
पिता/पति का नाम (Father's / Husband's Name)
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माता का नाम (Mother's Name)
*
क्या म.प्र. के मूल निवासी है? (M.P. Domicile)
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जाति वर्ग/श्रेणी (Category)
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लिंग (Gender)
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वैवाहिक स्थिति (Marital Status )
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क्या आप भूतपूर्व सैनिक हैं? (Are You Ex-service Man?)
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बच्चो की संख्या (No. of Children)
यदि बच्चे नहीं हैं तो कृपया 0 भरें|
अंतिम बच्चे की जन्मतिथि (Last child birth date)
(In DD/MM/YYYY)
क्या अंतिम बच्चे जुड़वाँ पैदा हुए हैं? (Is Your Last Child Born Twins)
नागरिकता (Nationality)
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जन्म तिथि (DD/MM/YYYY)(DOB)
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(In DD/MM/YYYY)
Age as on
क्या आप शारिरिक विकलांग है? (Are you Physically handicapped?)
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विकलांगता का प्रकार (Type Of Physically Handicapped)
Are You Employee in State Government/Corporation/Board/Home Guard
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शैक्षणिक योग्यता विवरण(Educational Qualification Details)
पिछली /अंतिम शैक्षणिक योग्यता का परिणाम(Result Awaited)-Last Year
*
Result Awaited
Result Declared
योग्यता (Qualification)
परीक्षा का नाम (Exam Name)
Stream
उत्तीर्ण वर्ष (Passing Year)
विश्वविद्यालय / बोर्ड (University/Board)
संस्थान / कॉलेज का नाम (Institute/College Name)
प्राप्तांकों का प्रतिशत(Percentage) (In
00.00
Format)
10
th
*
High School
12
th
*
Higher Secondary
Others
Do you have DOEACC/NIELIT B level Certificate?
*
संचार पता (Communication Address)
पता (Address)
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राज्य (State)
*
शहर (City)
*
पिन नंबर (Pin No.)
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ईमेल आईडी (Email id)
*
मोबाइल नम्बर (Mobile No.)
*
Please Fill valid Moblie No.
फोन नंबर (Phone No.)
स्थायी पता (संचार पते के समान) (Permanent Address(Same as Communication Address))
पता (Address)
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राज्य (State)
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शहर (City)
*
पिन नंबर (Pin No.)
*
मोबाइल नम्बर (Mobile No.)
*
Please Fill valid Moblie No.
फोन नंबर (Phone No.)
संलग्नक (Attachment)
*
हस्ताक्षर के साथ फोटो संलग्न करें (Attach Photo with Signature)
*
Upload Image
Click here for photo sign format
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Read form carefully before submission.
I hereby declare that all the information given in the aforementioned application format is true to the best of my knowledge. I under take and accept that if any of the information given by me is found to be incorrect, then my application will be rejected and if appointed, then my appointment will be terminated & action may be taken accordingly.