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Personal Information
Personal Information
Candidate Name
*
Father’s Name
*
Mother's Name
*
Category
--Select Category--
BCA
BCA (DESM/DFF)
BCA (ESM)
BCA Sports
BCB
BCB(DESM/DFF)
BCB(ESM)
EWS
Gen Sports
General
General (DESM/DFF)
General (ESM)
PWD
SC
SC (DESM/DFF)
SC (ESM)
SC Sports
*
Date of Birth
*
Age as on the last date of receipt of application(23/10/2019)
Do you have?
Aadhar No.
10th (Matriculation) Roll No.
10th Roll No.
*
Marital Status
Married
Unmarried
Mobile No
*
Email ID:
Resident (Domicile)
-- Select --
Haryana
Other
*
Gender
Male
Female
Transgender
*
Place of Birth
Religion
--Select Religion--
JAIN
MUSLIM
HINDU
BUDDHIST
SIKH
CHRISTIAN
OTHER
Nationality
Indian
Others
Are you Ex-Serviceman Category
No
Yes
Freedom Fighter Category
No
Yes
Eligible Sports Person
No
Yes
Person With Disability
No
Yes
Present Postal Address
Address
*
Pin Code
*
Permanent Home Address
Same as Present Postal Address
Address:
*
Pin Code:
*
Post
S No
Location\Post
1
--Select Post--
Clerk
Radiographer
VLDA
Discipline
-