Full Name

Father's Name/ Husband's Name

Mother's Name

Nationality

Category
SCSTOBCGeneral

Gender
MaleFemale

Date of Birth

Secondary or equivalent School Name

Board / University

Year of passing

Percentage of marks

Higher Secondary School Name

Board / University

Year of passing

Percentage of marks

Languages known

Phone number

Email Id

Technical Knowledge

Guardians Occupation

Relocate
YesNoMaybe

Course Interest

Permanent Address

Address for correspondence