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RECRUITMENT IN M.P. POLLUTION CONTROL BOARD
Fields marked with
*
are mandatory
Instructions
Documents to be furnished in original at the time of verification of documents along with one set of photocopies attested by a Gazetted officer and a copy of online submitted application form / Receipt
Personal Details
Applying for Post
Applicant's Name
*
Father's/Husband's Name
*
Mother's Name
*
Domicile of MP:
*
Nationality:
*
Marital Status:
*
Marriage Date
*
(In dd/mm/yyyy)
No. of Children
Last child birth date
(In dd/mm/yyyy)
Is Your Last Child Born Twins
Gender
*
Date of Birth
(dd/mm/yyyy)
*
(In dd/mm/yyyy)
Age as on 01/01/2019
-
-
(yy-mm-dd)
Are You Physically Handicapped ?
*
Category:
*
Have you got caste certificate of caste under the Manjhi Scheduled Tribes like Dhivar, Kahar, Bhoi, Kevt, Mallah, Nishad etc?
*
State Employment Office of Madhaya Pradesh Registration Number ?
*
Are You an Employee of Govt./Corporation/Board/Autonomous Institute and Home Guards?
*
Educational Qualification
*
Is Result Awaited PG?
*
Qualification
Name of the Degree
Stream
Passing Year
University/Board
Institute/College Name
Obtained Percent (In
00.00
Format)
10
th
*
10th
11
th
/12
th
*
Higher Secondary
Diploma
*
Degree
*
Post Graduation
*
* In case your University/Institute does not award marks, please convert grades(CGPA) to Percentage marks and fill.
* Write % of marks with two digits after the decimal. The second digit after the decimal should be rounded off. e.g., if Marks is 60%, then write 60.00%. If marks are 68.938% then write 68.94%.
GATE/CSIR-UGC NET Details
Passing Year
Subject
Registration Number
Total Marks
Obtainted Marks
Score(Obtain Marks)
(% of Marks Out Of 100) 00.00
Experience Details
Do you have experience in MPPCB?
*
Total Experience(yy/mm/dd)
Communication Address
Address
*
State
*
City/Town
*
Pin No.
*
Email id
*
Mobile No.
*
Phone No.
Permanent Address(Same as Communication Address)
Address
*
State
*
City/Town
*
Pin No.
*
Mobile No.
*
Phone No.
Bank Details
Account Number
*
Bank Name
*
Account Holder Name
*
IFSC Code
*
Attachment
*
Attach Photo with Signature
*
Upload Image
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