Application Form for MPSC Gazetted Civil Services - Food And Drugs

Administration Services And Inspector Legal Metrology 2023 Main

Exam Financial Aid Scheme
(Please take Printout of the Application Form, fill in the details, scan the form with respective
documents (Caste certificate, Caste validity, Bank Passbook, passport size photo, Domicile
and MPSC- Maharashtra Gazetted Civil Services Pre Exam -2023 Admit card and send it
to E-mail ID – mpscbarti.22@gmail.com

General Information Paste Passport

size Photo

*Full Name of Candidate: -Surname____________Name_____ Father’s Name____________

(Starting with Surname) (As per SSC)

*Seat No of SSC (Secondary School Certificate)

*Mother’s Name ________________*Date of Birth______________________

*Gender Male Female

*Caste Category - Scheduled Caste *Caste ___________________________

*Adhar No (UID) ______________________ *Mobile Number ___________________

*E-mail ID _________________________________________________________________

*Correspondence Address______________________________________________________

__________________________________________________________________________

*Permanent Address __________________________________________________________

__________________________________________________________________________

*Seat No: ______________________________________

(The candidate should mention MPSC -Maharashtra Gazetted Civil Services Pre Exam -2023)

*Bank Detail:
Account No._______________________________

Bank Name. _______________________________

Branch___________________________________
 IFS Code_________________________________

*Have you taken coaching for MPSC

preparation sponsored by BARTI, in past? YES NO

Undertaking of the Applicant

I, hereby confirm that the information provided in the form above is true and my application can be rejected at
any stage of the selection process if any of the above information is found to be false.
I will be suspended at any stage of the course in case the above information is found to be false. Additionally,
the cost of Financial Assistance will be recovered from me, in case the above information is found to be false.

I Accept the Terms and conditions.

I Agree I Disagree

Date:
Place:
Signature
*List of Documents required (ALL DOCUMENTS MUST BE SELF ATTESTED)–
1. Caste Certificate
2. Caste Validity Certificate
3. Domicile Certificate
4. Bank Passbook (1st Page)
5. MPSC Maharashtra Gazetted Civil Services Pre Exam -2023 Admit card
6. Scan Passport size photo
__________________________End of the Form_____________________________________