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PHOTO

PROFORMA

2.

Father’s/Husband’s Name

:

___________________________________

3.

Date of Birth

:

___________________________________

4.

Age (as on 25/02/2011)

:

___________________________________

5.

Category (GEN/SC/ST/OBC)

:

___________________________________

6.

Correspondence Address

:

___________________________________

1.

Application for the post of _______________________________________

Name

:

___________________________________

Phone Number/Mobile No

:

___________________________________

E-mail ID

:

___________________________________

Permanent Address

:

7.

___________________________________

___________________________________

___________________________________

___________________________________

___________________________________

8.

Educational Qualification Name of Exam Passed

Name of Board/ University

Year of

Division

Passing

& Percentage

of marks

Subject(s)

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