APPLICATION FORM (SESSION 2024-2025) (FILL THE PARTICULARS IN APPLICANT) Post Select Full Name Father's Name / Husband Name * Date Of Birth Gender Male Female Other Select Full Address Pin Code Category Select Category ST SC OBC GEN Phone Number Email Id Aadhar Card No. Blood Group O+ O- A+ A- B+ B- AB+ AB- Select Health Issues YES NO Select Self Attested Recent Photograph Signature Thumb Impression Qualification Select Qualification High School Subject Science Arts Commerce other Board Max. Marks Marks Obtained Qualification Select Qualification Graduation Post Graduation Other Course / Stream Board /University Name Max. Marks Marks Obtained Qualification Select Qualification Graduation Post Graduation Other Course / Stream Board /University Name Max. Marks Marks Obtained Do you have relevant experience? Select Yes No Chhattisgarh Domicile Select Yes No 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 Apply Now >>