Request Zonal

To, The Chairman/Secretary
All India Education Council
New Delhi
max="2030-12-31">
Application Form for Opening a Zonal
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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