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Personal Details

Name*

Permanent Address

House*

Post*

District*

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Email*

Mobile Number*

Communication Address

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Post*

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Sex* MaleFemaleTransgender

Age*

Date of Birth*

Place of Birth*

Identity Card Type* AadhaarOther

Bank Account Details

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IFSC*

Bank Name*

Branch*

Family Details

Name of Father

Occupation of Father

Name of Mother

Occupation of Mother

Name of guardian*

Relationship*

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Type of family BPLAPL

Religion & Community

Religion* ChristianHinduMuslimOthers

If Catholic Specify Whether Dalit Catholic YesNo

Community* SCSTOBCOECNot Applicable

Educational Qualifications

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If Yes, Specify Stream,College and Year

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Undertaking

I agree to the features, conditions, rules and policies of the Civil Service Examinations Coaching Programme. I also undertake that I will abide by the rules and regulations of the Institute and obey the general guidelines of library as well as instructions issued by authorities from time to time. I also agree with the schedule of payment of fees as well as the refund policy.

Details of Fee paid for admission:

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Date*

Name of the account holder*

I may be granted provisional admission.