Registration No :-

Corresepondence Address

Address Line 1 :- *
Address Line 2 :- *
Country :- *
State :- *
City/District :- *
Pin/Postal Code :- *

Permanent Address

Is Permanent Address Same as Correspondence address? :- *
Address Line 1 :- *
Address Line 2 :- *
Country :- *
State :- *
City/District :- *
Pin/Postal Code :- *
Whether seeking age relaxation by virtue of your category :- *
Whether any Criminal case(s) has ever been registered against you? :- *
Whether any FIR has ever been registered against you? :- *
Whether served in Territorial Army for a minimum period for two Years? :- *
Are you awarded with “B” certificate of NCC? :- *
Visible mark of Identification :- *
Do you have Pan Card? :- *
Pan Card Number :- *
Name on Pan Card :- *
Do you have Driving License? :- *
Do you have Voter Id? :- *
Do you have Passport? :- *