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Applicant Registration
Name of the Applicant
*
Father's/Husband's Name
*
Mobile No
*
Alternative Mobile No
Email
*
Alternative Email
Category
*
UR
ST
SC
OBC(NCL)
Gender
*
Male
Female
Whether you are Person with Disabilties ?
*
Yes
No
Whether you are Ex Serviceman ?
*
Yes
No
DOB
(DD-MM-YYYY) *
Password
*
Present Address
*
Permanent Address
*
Present PIN
*
Permanent PIN
*
