Career – Brainypedia Skills

APPLICATION FORM (SESSION 2024-2025)

(FILL THE PARTICULARS IN APPLICANT)

Post

Full Name

Father's Name / Husband Name *

Date Of Birth

Gender

Full Address

Pin Code

Category

Phone Number

Email Id

Aadhar Card No.

Blood Group

Health Issues

Self Attested Recent Photograph

Signature

Thumb Impression

Qualification

Subject

Board

Max. Marks

Marks Obtained

Qualification

Course / Stream

Board /University Name

Max. Marks

Marks Obtained

Qualification

Course / Stream

Board /University Name

Max. Marks

Marks Obtained

Do you have relevant experience?

Chhattisgarh Domicile

Upload Domicile Certificate

(a) My Health and Family Circumstances Permit Me and I Am Willing To Serve In Any Zone of This UT. (b) Information Given By Me Is True To The Best Of My Knowledge And I Am Solely Responsible For Its Accuracy. I Am Aware That It Is An Offence To Furnish Any False Information Or To Suppress Any Material Information Herein For Which Criminal Proceedings May Be Initiated Against Me Besides Cancellation Of My Candidature. (c) I Have Fully Understood That This Office Is Purely On Contract Basis And There Is No Provision For Any Permanent Appointment Under Brainypedia edutech private limited/Department Of Education And This Scheme Does Not Provide Any Provision For Regular Appointment. (d) do hereby declare that the information related to my Name, Category, Gender, Qualification, Date of Birth, Address, and all other information given above are correct, and I truthfully declare it to be correct. I have gone through the rules and other information related to the exam as notified. If any information given above is found to be incorrect at any stage, my candidature may summarily be terminated without any prior notice or information to me.

Date

Place

APPLICATION FORM (SESSION 2024-2025)

(FILL THE PARTICULARS IN APPLICANT)

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