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Application Form (Part 1)
State Applied For
State * :
Test Centre (In order of Preference)
Test center (choice 1) * :
Test center (choice 2) * :
Personal Details
Full Name (Exactly the same as appearing in educational qualification certificate) * :
Father's Name(Exactly the same as appearing in educational qualification certificate) * :
Father's Occupation * :
Mobile Number * :
Email-Id * :
     Correspondence Address
Address Line 1 * :
Address Line 2 :
Address Line 3 :
Landmark * :
State * :
City * :
Pincode * :
     Permanent Address :
Address Line 1 * :
Address Line 2 :
Address Line 3 :
Landmark * :
State * :
City * :
Pincode * :
      
Home District * :
Home State * :
Nationality * :
Religion * :
Gender * :
Category * :
Date of Birth * :   /     /       
Age as on 01/10/2014 * : 0  - Years 0  - Months 0  - Days
Marital Status * :
Dependent Son/Daughter of IFFCO Employee/Ex-Employee * :