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Applicant Name*
(As per 10thclass certificate including spaces) |
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| Father Name as per 10th Certificate* |
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| Mobile Number* |
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| Date of Birth* |
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| Gender* |
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| Community* |
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| Whether belong to EWSs (Economically Weaker Sections) |
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| Whether Pysically Handicapped (PH) |
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OH - Orthopedically Handicapped
VH (LV) - Visually Handicapped (Low Vision)
HH - Hearing Handicapped
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Candidates need to select the following circles for the states mentioned. For the remaining states, circle names will be respective state names.
Andhra Pradesh : Andhra Pradesh and Yanam || North Eastern : Manipur,Tripura,Nagaland, Arunachal Pradesh, Mizoram || Gujarat : Gujarat, Daman & Diu
Kerala: Kerala, Laccadive Isalnds || Maharashtra : Maharashtra, Goa || Tamil Nadu: Tamilnadu, Pondicherry || West Bengal: West Bengal, Andaman and Nicobar Islands, Sikkim. |
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| Circle in which 10thclass Passed* |
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| Board in which 10thclass Passed* |
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| Year of Passing 10thclass* |
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| 10thclass Certificate Number |
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Captcha *
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