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Applicant Profile Registration
*
marked fields are mandatory.
Personal Details
Applicant's First Name
*
(Don't write Mr./ Mrs./ Miss)
Applicant's Last Name
Father's Name
*
(Don't write Mr.)
Mother's Name
*
(Don't write Mrs.)
Date of Birth (dd/mm/yyyy)
*
Gender
*
Male
Female
(As per class 10th mark sheet or birth certificate)
Category
*
अनारक्षित (UR)
अनारक्षित (UR-EWS)
अनुसूचित जाति (SC)
अनुसूचित जनजाति (ST)
अन्य पिछड़ा वर्ग - क्रीमीलेयर को छोड़कर (OBC)
Mobile No
*
Email
*
(Please enter your mobile and email to get password.)
Identity Card
*
--Select--
Driving License
PAN Card
Passport
Photo Identity Card (Govt. issued)
Photo Credit Card
Ration Card
Voter Id
(Please enter your Identity Card Type and Identity Card No. which is
required for recalling your username if you forget one in the future.)
Identity Card No.
*
Confirm Identity Card No.
*
Login Details
Username
*
Password
*
Confirm password
*
(
Note:-
Password requires at least
1 lowercase letter
,
1 uppercase letter
,
1 number
,
1 special character
, but cannot contain whitespace and must be
at least 8 characters
long.)
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