Application Form for Opening a Zonal | |
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1. Registration Details / पंजीयन का विवरण * अनिवार्य फिल्डस (Mandatory fields) | |
Registration Number of the Trust/Society* | |
Name Of The Trust/Society* | |
Address Of The Trust/Society* | |
2. Applicant's Personal Details * अनिवार्य फिल्डस (Mandatory fields) | |
Applicant Name * | |
Father Name * | |
Mother's Name / माता का नाम * | |
Date of Birth / जन्म दिनांक * (MM/DD/YYYY) | ( As per high school certificate in 'MM/DD/YYYY' format. i.e. '03/16/1999' ) |
Category / श्रेणी * | |
Gender / लिंग * | |
3. Contact Details / संपर्क विवरण* अनिवार्य फिल्डस (Mandatory fields) | |
Phone with STD Code / पता * | |
Mobile Number / मोबाइल नंबर * | |
Email Address / ईमेल पता |
([email protected]) |
4. Educational / Qualification Details / षैक्षिक / योग्यता का विवरण* अनिवार्य फिल्डस (Mandatory fields) | |
Highest Educational Qualification / शैक्षिक योग्यता * | |
Year of Passing / * | |
Roll No /* | |
Result /* | |
5. Applicant’s Personal Details / आवेदक का व्यक्तिगत विवरण* अनिवार्य फिल्डस (Mandatory fields) | |
Address Line 1/ पता 1 * | |
Address Line 2/ पता 2 * | |
Address Line 3/ पता 3 * | |
City Name/* | |
State* | |
District* | |
Pin Code / पिन कोड * | |
6. Name and Address of the Zonal Details / * अनिवार्य फिल्डस (Mandatory fields) | |
College/Institute Name * | |
Address Line 1/ पता 1 * | |
Address Line 2/ पता 2 * | |
State* | |
District* | |
Pin Code* | |
7. Zonal Contact Details / * अनिवार्य फिल्डस (Mandatory fields) | |
Mobile No.* | |
Email ID* | |
8. Zonal Application Details / * अनिवार्य फिल्डस (Mandatory fields) | |
For which State Zonal has Applied* | |
For which Zone Zonal has Applied* | |
9. Identification Details / पहचान की सूचना* अनिवार्य फिल्डस (Mandatory fields) | |
Voter ID#/Adhaar ID#/PAN # /मतदाता आईडी # / आधार आईडी # / पैन # * | |
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