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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*
(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*
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