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 (%)
CSAT
BANK
PSC
SSC
Signature of Candidate