Employee/PAO ID :*

Sur Name :

Employee Name :*

Designation :*

Genl.No. :

Parent Unit :*

Place of work : *

Date of Birth(DOB>=01-07-1992) : *

Age as on (01-07-2024) : *

Date of Appointment: *

Whether Probation Declared? :*

Yes

Date of declaration of Probation : *

Mobile No : *

Whether possess degree? : *

Yes

If yes, mention degree :*

If other, Specifiy : *

Specializations/PG/Addl Qualifications :

Any punishments in entire service? :*

Yes

Identification Mark 1 :

Identification Mark 2 :

Upload Recent Passport size color Photo (in .jpeg,.png,.jpg format and size must be less than 200 kb) : *

I hereby declare that the above information furnished by me is correct and true, and if found incorrect later, my application may be disqualified.

Instructions:

1.OTP Based Modification.

2.After taking print out, application must be forwarded/counter signed and recommended by unit officer and appointing authority.

For any technical issues contact 7330811131 and for other issues, contact 9281103020 between 10.30 am to 5 pm