REGISTRATION FORM

Note* : Name and Date of Birth should be as per Aadhar, if not your application will be rejected


AADHAR Number* (12 Digits)
Name * (as per Aadhar Card) Gender Male Female
Father's Name Mother's Name
Maritial Status Single Married
Date of Birth * (as per Aadhar Card) (DD/MM/YYYY) Category
Qualification Year of passing
Percentage
Max Marks Marks Obtained Percentage
Experience
(In Years) 		Years
Additional Qualification Eng Typ - Jr Eng Sh - Jr
Kan Typ - Jr Kan Sh - Jr
MS Office Nudi Tally 		Previous
Experience
Description
Land Phone (With STD Code) Cell Phone
EMail Id
Address for Communication


District
Taluk
Pin Code
Permanent Address


District
Taluk
Pin Code
Reference 1
(Person who
recommended you)
Name
Designation
Address
Mobile No
 Reference 2
(A Person
for Proof)
Name
Designation
Address
Mobile No
PAN Number
PF Number ESI Number