Application for Admission to the PSC Coaching Programme

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Course for which admission is sought*

Stream*

Personal Details

Name*

Permanent Address

House*

Post*

District*

Pin*

Email*

Mobile Number*

Communication Addres

House*

Post*

District*

Pin*

Gender*

Male

Female

Transgender

Age*

Date of Birth*

Place of Birth*

Identity Card Type*

Aadhaar Number/ Identity Proof No.

Family Details

Name of Father/Guardian

Occupation of Father

Name of Mother

Occupation of Mother

Relationship with Guardian*

Contact Number of Guardian*

Type of family

Religion & Community

Religion*

If Christian, specify the diocese

If Catholic Specify Whether Dalit Catholic

Community*

Educational Qualifications

Education

Board, College & University

Year of passing (Std. 10 OR Degree)

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Details of Fee paid:

Amount*

Date*

Name of the account holder from which the fee is paid*

I agree to the features, conditions, rules and policies of the PSC Coaching Programme. I also undertake that I will abide by the rules and regulations of the Institute and obey the general guidelines of the PSC Reading Room as well as instructions issued by authorities from time to time.