Application for free Coaching of CSAT, Bank, PSC

Sponsored by ministry of social Justice and Empowerment Govt. of India

1. Name: ....
2. Address (Permanent): .
..
3. Address (For Communication): ..
..
4. Telephone: .. Mobile: ..
5. Email: .
6. Fathers Name:
7. Occupation:
8. Age & Date of Birth:
9. Caste (SC/OBC):
10. Educational Qualification
Year

Board / University

Educational Qualifications

Marks (%)

11. Whether you have appeared Group A / Group B Exams:

(if so give details including the optional Subjects)
12. Applying for:

CSAT

BANK

PSC

SSC

13. Annual income of the family:

I hereby declare that all statements made in this application are true, complete and correct to the best of my
knowledge and belief. I understand that the event of any information being found false or incorrect at any
stage or not satisfying the eligibility criteria according to the requirements of the relative notification, my
candidature is liable to be cancelled.
Place:
Date:

Signature of Candidate