1 |
Name (As appeared in all your certificates) |
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2 |
Gender |
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3 |
Date of Birth |
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4 |
Marital Status |
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5 |
Category |
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6 |
Mobile |
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7 |
Email |
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8 |
Area applied for |
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9 |
Father's Name |
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10 |
Mother's Name |
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11 |
Nationality |
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12 |
Address |
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13 |
Pincode |
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14 |
State |
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15 |
Education Qualifications (mention subject in which specialized/majored) |
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Work Experience |
16 |
Work Experience |
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17 |
Details of Last Salary Drawn |
A |
Basic |
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B |
Grade Pay |
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C |
Dearness Allowance |
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D |
Transport Allowance |
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E |
House Rent Allowance |
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Total (A+B+C+D+E) Rs. |
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Special Allowance if any |
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Any Other |
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18 |
Upload Documents |
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19 |
Disclaimer |
I hereby understand and undertake that (please select the boxes)
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