APPLICATION FORM
01 Name of the post applied for :  *
02 Medium of Examination :  *
03Name Of Applicant : *
(As written in SSC/Matriculation Certificate)
   
04Father's/Husband's Name : *
(As per H.S. Certificate)
   
05Mother's Name :*
(As per H.S. Certificate)
   
06 Date of Birth: *
08 Category: *
09 Sex *
10 Religion: *
11 Nationality-Indian * Yes No   
12 Whether Ex-Serviceman *
Yes No
13 Whether Ex-TAs of Ordnance Factory *
Yes No
14 Whether Person with Disability *
Yes No
15 Whether employed in Central/State Govt. Service/PSU *
Yes No
16 Persent Postal Address with Pin Code *
17 Permanent Address with Pin Code
18
Academic/Professional Qualification (Starting from Matriculation or Equivalent Examination))
Exammination
Passed
Year of
Passing
Board/University/InstituteMarks
obtained
Total
Marks
% of Marks
19
Details of passing ITI or equivalent diploma/certificate examination
Name of trade Name of Institution
Training period
from To
Year of
Passing
Certificate No. &
Date of issue
20
Details of passing NCVT (NAC/NTC) Examination
Name of trade Name of Ordnance Factory or Institution/Organisation
Training period
from To
NCVT
Batch No.
Year of
Passing
Certificate No. &
Date of issue
21 E-mail id :  *
22 Mobile Number (Not start with 0) *
23 Phone No. *   
24 Nearest Railway Station
(for SC,ST and Handicapped Ex-man)
25 Are you claiming any age relaxation ? Yes No
26 Are you exempted from payment of fee ? Yes No