Name (As on 10th Certificate)
Date of Birth
Gender
Blood Group
Father's Name
Mother's Name
Father/Guardian's Profession
Family Annual Income
Martial Status
Religion
Caste
Caste Certificate Date
Nationality
Voter ID Number
UIDAI Card No.
Reservation Category
Physical Fitness
Permanent Address
Address
Post Office District
State Pin Code
Mobile Email-ID
Present Address Same as Permanent Address
Address
Post Office District
State Pin Code
Mobile Email-ID
Languages Known
Language Read Write Speak
Educational Qualification
Qualification School/College Name Board/University Year of
Passing
Marks
obtained
Max.
Marks
Percentage Class/Grade Specialization
Certification (If any)
Course Name Institute/University Name Year of Certification Marks/Grade obtained
Professional Experience (If any)
Sr. No. Organization Designation Period Job Role
From To
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