Are you an Indian Citizen?*	:	Select Yes No
Applicant Name*	:	Note 1: Name as in the Matriculation/Secondary Examination Certificate. Note 2: Please do not use any prefix such as Mr. or Ms. etc
Date of Birth (DD-MM-YYYY)* (Date of Birth should be same as matriculation/10th certificate/detail mark sheet)	:
Father's Name*	:
Mother's Name*	:
Gender*	:	Select
Marital Status*	:	Select MARRIED UNMARRIED OTHERS
		Other Specify* :
Husband Name*	:
Are you a local resident of Jharkhand?* (If you are not a local resident of Jharkhand,you are not eligible for this post)	:	Select Yes No
		Candidates will be considered in Unreserved Category.
		Select your District of local residence* : Select
Reservation Category*	:	Select
		Are you belong to PTG(Primitive Tribe Group)?* : Select Yes No Caste Name* : Select
Are you an Ex-serviceman - Army/Air Force/Navy?*	:	Select Yes No
		Certificate Number* : Date of issue of the Certificate* : Service Start Date* : Service End Date* :
Do you claim reservation under Sports Quota?*	:	Select Yes No
		Select your Sports type* : Sports Certificate Number* : Sports Date of issue of the Certificate* :
Physically Handicapped(PH)?* (For PH candidates, disability percentage should be 40 or above only will be considerable)	:	Select Yes No
		PH Disability Type* : Select PH Certificate Number* : Issuing Authority* : Date of issue of PH Certificate* :
Aadhaar Card No.	:
Visible Identification Mark 1*	:
Visible Identification Mark 2	:
Option for Language paper-II*	:	Select
Communication Details Permanent Address Correspondence Address Address Line 1* : Address Line 2 : Address Line 3 : Address Line 4 : City/Village* : District* : State* : Select Pin code* :                                  Same as Permanent Address Address Line 1* : Address Line 2 : Address Line 3 : Address Line 4 : City/Village* : District* : State* : Select Pin code* :
Mobile No.*	:	Do not prefix '0' or '+91' before the mobile no. [Please keep this Mobile No. active for receiving communications/information pertaining to the Recruitment process.]
Confirm Mobile No.*	:
Email ID*	:	[Note: Please keep this Email ID active for receiving communications/information pertaining to the Recruitment process.]
Confirm Email ID*	:
Educational Details Name of Examination Name of the School/College/ Institution (Mention State also) Board/University Year of Passing % of Marks Obtained Subject Matriculation/10th* Select 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 -- Intermediate/10+2/Equivalent* Select 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 Graduation Select 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971
Select Your Minimum Educational Qualification As Per Brochure*	:	Select
Select Your Technical Subject For Paper-III*	:	Select
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