Online Application Form

Candidate Name
Father's Name
Mother's Name
Ex-Servicemen?	Select Ex-Servicemen Status No ESM (Self) ESM (Lineal Descendant)
If ESM(Self) - Period of Service in Armed Forces in years	Years
Are you seeking Reservation against Freedom Fighter Category?	No Yes
Are you Domicile of Punjab?	No Yes
Are you seeking Reservation against Sports Person Category?	No Yes
Persons with Disability?	Select Persons with Disability Status No Yes
Percentage of Disability
Scribe required in case of PwD?	No Yes
Are you a regular Government Employee?	No Yes
Nationality	Select Nationality Citizen of India Person of Indian Origin Subject of Bhutan Subject of Nepal Tibetan Refugee
Marital Status	Select Marital Status Deserted Woman Judicially Separated (not Remarried) Married Unmarried Widowed
Gender	Select Gender Female Male
Visible identification mark on the body
Date of Birth (DD-MM-YYYY)
E-Mail ID
Confirm E-Mail ID
Mobile Number
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