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Name
:
*
Name as recorded in the Matriculation/Secondary Examination Certificate
Please do not use any prefix such as Shri/ Mr./ Ms./ Dr./ Mrs. Etc.
Father's Name:
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[Note 2: Please do not use any prefix such as Shri/ Mr./ Ms./ Dr./ Mrs. Etc.]
Date of Birth(As per Matriculation):
*
DOB as recorded in the Matriculation/10th Standard or equivalent certificate. Where Date of Birth is not available in certificate/mark sheets, issued by concerned Educational Boards, DOB as indicated in School leaving certificate will be considered (in case of Tamil Nadu & Kerala)] Required Document For Age Proof.
Day
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Month
01
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05
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09
10
11
12
Year
1950
1951
1952
1953
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1966
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1968
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1970
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1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
E-Mail:
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Enter Your E-mail Address which is current and active.
Confirm E-Mail:
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Mobile Number:
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(Maximum 10 Digits)
Category:
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--select--
PSP
EWS
SC
ST I
RBA
ALC or IB
OBC
OM
STII
Social Caste:
*
--select--
Bahach Hanjie and shikara wallas excluding house boat owners
Fihserman including gada hanz
markabans whose sole livelyhood depends on markabani
Potters
Shaksaz
Shoe-repairers(working without the aid of machines)
Bangi,Khkrob,Swepers
barber
washerman
bhands
mirasis
madari,bazigar
kulfaqir
dambali faqir
dooms
shupri wattal
sansis
sikligars
grati(rural only)
Teeli
Lohars
tarkhans
Anyother
Ethino Linguisticity:
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--select--
Koshur
Dogra
Gujjar
bakerwal
Pahari
Punjabi
Bot/Botta
balti
Brogta/Dard
Changpa
Mon
Purigpa
Others
Religion:
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--select--
Muslim
Hindu
Sikh
Bodh
Christian
Jain
Others
Gender:
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Male
Female
Marital Status:
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Unmarried
Married
Verification Code
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