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REGISTRATION FORM FOR RECRUITMENT
Post Applied For	Select Post Field Officer
Full Name of Applicant (As Per 10th Marksheet)	(Do not prefix Mr/Mrs/Km/Sh/Smt/Dr/Prof etc)
Re-enter Full Name of Applicant (BLOCK LETTERS)
SEX	Male Female Transgender Please select the gender
Email ID	[Note: Please keep this Email ID active for receiving communications/information pertaining to the Recruitment process. After successful completion of registration process, this email-id will be your Username]
Confirm Email ID
Employee of Central Goverment/Rubber Board?	Select Central Goverment Rubber Board No
Please indicate the Category to which you belong *	Select One UR ST SC OBC Non-creamy layer OBC creamy layer EWS Please select the Category to which you belong
DOB(As per Certificate of Class X)	( yyyy-mm-dd )
Mobile No	+91 (10 digits) Please Do not prefix zero (0) [Please keep this Mobile No. active for receiving communications/information pertaining to the Recruitment process.]
Confirm Mobile No	+91 (10 digits) Please Do not prefix zero (0)
	Please note that the mentioned mobile number and email id will be the only way to notify you on the updates. It is in your own interest that the mobile no & email id should be valid and should be kept active till the completion of this round of selection process. Any requests for subsequent changes/consideration regarding any changes will not be entertained.
Password
Confirm Password
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* I do hereby declare that the above information is correct and complete to the best of my knowledge and belief.