| *Are you Indian Citizen?: |
Yes
No
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| *Are You Local Resident of Jharkhand?: |
Yes
No
|
| *Select your District of Local Resident: |
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| Certificate Number of your Local Resident of Jharkhand (As per brochure section -9) : |
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| Local Resident Certificate issuing Authority : |
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| Date of Issue of your Certificate of Local Resident : |
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| *Matriculation & Intermediate from affiliated School/College/Institutions situated within geographical area of Jharkhand State: |
Yes
No
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| *Knowledge of Local Customs, Language and Surroundings of Jharkhand State?: |
Yes
No
|
| *Reservation Category: |
UR
EWS
EBC-I
BC-II SC
ST
|
| * Do you belong to Primitive Tribe ?: |
Yes
No |
| * Select your Primitive Tribes Group: |
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| (EBC-I/BC-II/SC/ST-Caste Certificate No..)/(EWS-Certificate No..)
: |
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| Certificate issuing Authority : |
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| Certificate Date of Issue : |
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| * Are you a person with minimum 40% disability(PWD)? : |
Yes
No
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| Type of Disability : |
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| PWD Certificate No. issued by Medical board : |
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| PWD certificate Date of Issue : |
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| * Are you an Ex-servicemen? : |
Yes
No
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| * Experience in Defence : |
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| Ex-servicemen Certificate No.. : |
|
| Ex-servicemen Certificate Date of Issue : |
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| *Do you claim reservation under sports Quota? : |
Yes
No
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| *Select your sports type: |
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| Sports Certificate No. : |
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| Sports Certificate Date of Issue : |
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| * Name of Applicant : |
Note 1: Name as in the Matriculation/Secondary Examination Certificate.
Note 2: Please do not use any prefix such as Mr. or Ms. etc
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| *Gender : |
Male
Female
Other
|
| * Mobile No : |
[Please keep this Mobile No. active for receiving communications/information pertaining to the Recruitment process.] |
| * Confirm Mobile No : |
|
| * Email ID : |
[Note: Please keep this Email ID active for receiving communications/information pertaining to the Recruitment process.] |
| * Confirm Email ID : |
|
| * Date of Birth : |
[Note :DOB as in the Matriculation/10th Standard or equivalent certificate. ]
|