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Registration No of SSC Exam, 2018 *
Application For the Post *
Personal Details
Candidate's First Name * Candidate's Last Name *
Father's / Husband's Name * Mother's Name *
Gender * Religion *
Date of Birth(dd/mm/yyyy) * Age As On(01/01/2019)
Nationality *
Category * Marital Status: *
Aadhaar Card Number
Communication Address
Line 1 *
Line 2 *
City / Town * District *
State * Pincode *
Phone No. Mobile No. *
Email Id *
Tick here if Permanent Address is same as Communication Address
Line 1 *
Line 2 *
City / Town * District *
State * Pincode *
Education Qualification
Qualification Name of the Degree Passing Year University/Board % of Marks
10th * HSC
12 HSSC
Diploma / Degree in Civil / Electrical Engineering *
Upload Photograph & Signature
DECLARATION 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.