APPLICATION FORM
CSC e-Governance Services India Limited
Advertisement No : 17/01/2017/01
Last Date : 31-October-2020  
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Name Of Post :
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Name Of Post
State Consultant
District consultant
Aadhaar No. :
*
Name Of Candidate :
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(Maximum 30 Characters)
[Name as recorded in the Matriculation/Secondary Examination, Please do not use any prefix such as Shri/ Mr./ Ms./ Dr./ Mrs. Etc. Certificate]
Father Name :
*
(Maximum 30 Characters)
[Please do not use any prefix such as Shri/ Mr./ Ms./ Dr./ Mrs. Etc.]
Mother Name :
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(Maximum 30 Characters)
[Please do not use any prefix such as Shri/ Mr./ Ms./ Dr./ Mrs. Etc.]
Date Of Birth :
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DOB as recorded in the Matriculation/10th Standard or equivalent certificate. Where Date of Birth is not available in certificate/mark sheets, issued by concerned Educational Boards, DOB as indicated in School leaving certificate will be considered (in case of Tamil Nadu & Kerala) Required Document For Age Proof.
Age as on 31st July of 2019 :
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Sex :
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Male
Female
Others
Highest Qualification :
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Highest Qualification
X
XII
GRADUATION
POST GRADUATION
OTHER
University Name :
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Year Of Passing :
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Mode Of Study :
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Mode Of Study
Regular
Correspondence
Contact No. :
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(Maximum 10 Characters)
Email Id :
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Enter Your E-mail Address which is current and active.
Year Of Experience :
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Area Of Interest :
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Skill/Expertise :
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State :
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State
Andaman & Nicobar
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
Nepal
Nepal
Odisha
Puducherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
Permanent District :
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--Select District--
Choice District :
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--Select District--
Address :
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(Maximum 35 Characters)
Pincode :
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(Maximum 6 Characters)
Education Qualification
Click on checkboxes prior to filling marks in specified box .!
Exam Passed
Subject
Marks
Maximum Marks
Scored Marks
Percentage
Matric
Intermediate:
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Medical
Non-Medical
Arts
Commerce
Other
Graduation:
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BA
BSc
B.Com
BBA
BCA
BE
B.Tech
Others
Post Graduation :
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MA
MSc
M.Com
MBA
MCA
ME
M.Tech
Others