Apply for Field Assistant

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Personal Information

Candidate's Name:

Aadhaar No.:

Aadhaar Card:

Passport Photo:

Signature:

Date of Birth:

Gender:

Phone No.:

Email:

EmpExc Regn. No.:

EmpExc Sponsor No.:

Category:

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Category Certificate:

Payment Screenshot:

Father's Name:

Address:

Class X

Board/Council:

Percentage/CGPA:

Year of Passing:

Class X Marksheet:

Intermediate (with Science Subjects)

Board/Council:

Percentage/CGPA:

Year of Passing:

Class XII Marksheet:

Bachelor's Degree in Science or Equivalent (if any)

University:

Percentage:

Year of Passing:

Graduate Marksheet:

Master's Degree (if any)

University:

Percentage:

Year of Passing:

Marksheet:

Other (if any)

Examination Passed:

Certificate:

Experience (if any)

Experience:

Document:

I do hereby submit that the information furnished above is true and nothing has been concealed.