district project office sarva shikshya abhiyan ... - jharsuguda.nic.in
district project office sarva shikshya abhiyan ... - jharsuguda.nic.in
district project office sarva shikshya abhiyan ... - jharsuguda.nic.in
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Application Form for BRC Level Post under Sarva Shikshya Abhiyan, Jharsuguda-2011-121. Post applied for :____________________________________________2. Name of the Candidate :_____________________________________________(<strong>in</strong> Block Letters)3. Father’s / Husband’s Name:_____________________________________________Space forphotograph4. Permanent Address :_______________________________________________________________________________________________________________________________________5. Present Address :_______________________________________________________________________________________________________________________________________6. E-mail Address (if any) :_____________________________________________7. Telephone No./Mobile No. :_____________________________________________8. Nationality :_____________________________________________9. Date of Birth (DD/MM/YYYY):____________________________________________10. Sex (Male / Female) :_____________________________________________11. Category (Gen/SC/ST/SEBC):____________________________________________12. Physical Handicapped (Yes/No):_________________________________________13. Marital Status (Married / Unmarried): ___________________________________14. Educational Qualification :_____________________________________________15. Details of Educational Qualification:Exam Passed Board /University/Institution10 THYear ofPass<strong>in</strong>gDivision/GradeFullMarksMarksSecured% ofMarks+2 (Arts /Com/Science)Graduation(B.A./B.Com/B.Sc.)DCA/PGDCAMCAOthersComputer Course
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