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APPLICATION FORM 2023

Name of the Candidate:

Father’s/Husband’s Name:

Date of Birth:

Occupation:

Educational Qualification:

Gender:

Email Id:

Mobile Number:

Address:

State:

Mode of receiving salary (Money Order/Cheque/DD/Online Transfer):

Bank Account Number (If Salary mode is online transfer):

Account Holder’s Name:

Name of the Bank:


Branch Name:
IFSC:

Data Entry Plan (I or II):

Date of Registration Fee Payment:


Registration Fee amount:

Comment (Optional):

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