Candidates Details
Fill and Submit Form details within 10 minutes.
*Have you done Payment for (Advt. No.-14/2015 OR 15/2015)?:  Yes      No     
(Advt. No.-14/2015 OR 15/2015) Registration No. :   
*Are you Indian Citizen?:  Yes      No     
*Are You Local Resident of Jharkhand?:  Yes      No     
*Select your District of Local Resident:
Certificate Number of your Local Resident of Jharkhand (As per brochure)) :   
Local Resident Certificate issuing Authority :
Date of Issue of your Certificate of Local Resident :  
*Matriculation & Intermediate from affiliated School/College/Institutions situated within geographical area of Jharkhand State:  Yes      No     
*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:
(EBC-I/BC-II/SC/ST-Caste Certificate No..)/(EWS-Certificate No..) :
Certificate issuing Authority :
Certificate Date of Issue :  
* Are you a person with minimum 40% disability(PWD)? :  Yes      No
Type of Disability :
PWD Certificate No. issued by Medical board :
PWD certificate Date of Issue :  
* Are you an Ex-servicemen? :  Yes      No
* Experience in Defence :
Ex-servicemen Certificate No.. :
Ex-servicemen Certificate Date of Issue :  
*Do you claim reservation under sports Quota? :  Yes      No
*Select your sports type:
Sports Certificate No. :   
Sports Certificate Date of Issue :  
* 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
*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. ]
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