Applied For * District Coordinator Please select Vacancy Personal Details Name of the Candidate * Please enter a value with valid lengthPlease enter your namePlease enter a valid value Father's Name * Please enter a value with valid lengthPlease enter your father's namePlease enter a valid value Mother's Name * Please enter a value with valid lengthPlease enter your mother's namePlease enter a valid value Candidate Date of Birth * Please enter your date of birthThe format is YYYY-MM-DD Gender * Choose Gender Male Female Please enter a value Category * Choose Category GEN SC ST PH OBC (Excluding creamy layer) SBC Minority Please select category Choose Photo * Upload Your Photo* (Only JPG with Max. file size 300KB) Please enter a valid value Upload Signature * (Only JPG with Max. file size 300KB) Please select only JPG image.student signature is required. Contact Details Address of the Candidate * Please enter address State * Select State Andaman & Nicobar Islands Andhra Pradesh Arunachal Pradesh Assam Bihar Chandigarh Chhattisgarh Dadra & Nagar Haveli Daman & Diu Delhi Goa Gujarat Haryana Himachal Pradesh Jammu & Kashmir Jharkhand Karnataka Kerala Lakshadweep Madhya Pradesh Maharashtra Manipur Meghalaya Mizoram Nagaland Odisha Puducherry Punjab Rajasthan Sikkim Tamil Nadu Tripura Uttar Pradesh Uttarakhand West Bengal Please enter address City * Please enter address Zip Code * Please enter your 6 digit zip codePlease enter your zip codezip code must be a number Post By Area * Please enter your 10 digit mobile no.Please enter your mobile no.The mobile no must be a number Mobile No * Please enter your 10 digit mobile no.Please enter your mobile no.The mobile no must be a number Parent's Mobile No * Please enter your 10 digit mobile no.Please enter parent mobile mobile no.The mobile no must be a number Candidate Email Id * Please enter your email addressPlease enter a valid email addressPlease enter a valid email address Academic Qualification Class School/Institute Board Subject (taken) Passing Year Marks (%) 10th Please enter 10th School/Institute NamePlease enter a valid value Please enter 10th board NamePlease enter a valid value Please enter 10th subjects NamePlease enter a valid value Please enter valid 10th passing yearPlease enter 10th passing yearInvalid passing year Please enter 10th percentagePlease enter correct percentage 12th Please enter 12th School/Institute NamePlease enter a valid value Please enter 12th board NamePlease enter a valid value Please enter 12th subjects NamePlease enter a valid value Please enter valid 12th passing yearPlease enter 12th passing yearInvalid passing year Please enter 12th percentagePlease enter correct percentage Other Upload Documents 10th Marksheet * (Only JPG with Max. file size 1MB) Upload 10th Marksheet Please select only JPG image.10th marksheet is required. 12th Marksheet * (Only JPG with Max. file size 1MB) Upload 12th Marksheet Please select only JPG image.12th marksheet is required. Aadhar Card (Only JPG with Max. file size 1MB) Upload Aadhar Card Please select only JPG image Proceed