1) Name (Block Letter)
2)Gender :
3) Occupation
4) Caste: ( Mark )
5) Father's or Guardian's Name
6)Address(permanent) :
Vill
P.O
P.S
Pin No
Dist
7).Address (Present):
Vill
P.O
P.S
Pin No
Dist
8) Date of Birth
/
/
(DD / MM / YYYY)
10)Phone No
11)Mobile
13) Name of Block
14) Name of Gram Panchayat
15)Nearest Railway Station
Nearest Bus Stop
17)Year of Pass out
Academic Session (eg.2016-2017 )
Hons/ Gen (state subject)
Religion
Nationality