ONLINE APPLICATION FORM UNDER NRETP
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Details entered at this stage cannot be modified later on. Hence the candidates are advised to fill in the details correctly.
(* Indicate Mandatory Fields)

*NAME OF THE POST APPLIED FOR:
POST CODE
 
PERSONAL INFORMATION
*1. Name Of The Candidate :
 
First Name Middle Name Last Name  
*2. Father's Name :  
*3. Mother's Name :  
*4(a). Category :  
*4(b).Differently Abled (Physical Disablity If Any):  
*5. Gender :    
*6. Date of Birth:  
*7. Age (As On 01/04/2019):
 
 
COMMUNICATION INFORMATION
8. PERMANENT ADDRESS : 9. ADDRESS FOR CORRESPONDENCE :
Same As Permanent Address.
*Address :   *Address :  
*Post Office :   *Post Office :  
*City :   *City :  
*District :   *District :  
*State :   *State :  
*Pin Code :   *Pin Code :  
Please keep the Email and Phone No active till completion of the recruitment process
*10. Mobile No :
*11. E-Mail ID :
EDUCATIONAL QUALIFICATION
Qualification Course Name University/Board Subjects Year of Passing Marks(%)
HSLC/X th/Matric
HS/XII
Graduation
Post Graduation
Others
PROFESSIONAL EXPERIENCE:
Sl Designation Organization Duration Total(In Months) Nature of Duties
From To
1
2
3
4
5
 
Total Experience :
 
TRAINING AND OTHER COURSES ATTENDED
Sl Course Name Institute Name Duration Total(In Months)
From To
1
2
3
LANGUAGE KNOWN (PLEASE TICK)
SL.No Language Writing Reading Speaking
1
2
3
4
5
LIST OF ENCLOSURES
1.Photograph 2.Signature
   
















           I do hereby accept and declare that all the statements made by me in the application form are true and complete to the best of my knowledge and belief and nothing has been concealed or suppressed. I also understand that in case, any of my statements is found to be untrue at any stage of recruitment and thereafter, I shall be disqualified for the post applied for and I shall be liable for penal action as deemed fit by ASRLM.
 

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