Transcription of APPLICATION FORM COMBINED COMPETITIVE ... - …
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APPLICATION FORM COMBINED COMPETITIVE ... - …
APPLICATION FORMCOMBINED COMPETITIVE (PRELIM.) EXAMINATION, 2018 (To be filled in by the candidate with good quality black/blue ball pen in capital letters in appropriate box)2. Centre Opted(as per Advertisement)3. Gender(Female-F)(Male- M)4. Educational Qualification Year of Passing7. Category(GEN/SC/STP/STH/OBC&MOBC)5. (a) Date of Birth (As per HSLC Certificate)(b) Age as on 01-01-20186. Are you a permanent resident of Assam? (YES/NO)10. Name (as recorded in HSLC or equivalent certificate in BLOCK LETTER IN ENGLISH) Leave one blank space each in between parts of the name. 11. Father s Name (Leave one blank space each in between parts of the name)12. Mother s Name (Leave one blank space each in between parts of the name)13. Type of Disability (PWD candidate) Locomotor Disability- OHHearing Impaired-HIVisually Impaired-VI If so, Degree of Disability(%) 14.
APPLICATION FORM COMBINED COMPETITIVE (PRELIM.) EXAMINATION, 2018 (To be filled in by the candidate with good quality black/blue ball …
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