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MP-TRIFAC Recruitment For The Post of Assistant Grade-1 2018
Fields marked with * are mandatory
Post Details
Select Post*
Is Applied For Grade 2* Applied Application No*
Personal Details
Applicant's First Name* Applicant's Middle Name Applicant's Last Name
Father's/Husband's First Name* Father's/Husband's Middle Name Father's/Husband's Last Name
Mother's First Name Mother's Middle Name Mother's Last Name
Category:* Nationality:* Are You Domicile of MP ?*
Gender* Date of Birth(DD/MM/YYYY)* (In DD/MM/YYYY) Age as on 01/01/2018    - -(yy-mm-dd)
Marital Status:*
No. of Children Last child birth date (In DD/MM/YYYY) Is Your Last Child Born Twins
AADHAAR Number Ex ServiceMan* Are you handicapped?*
only for Asthibadhit(OH)
Email id* Mobile No.*
AdhoC/Contract worker of unified structure of TRIFAC*
Educational Qualification
Qualification Name of The Certificate/Diploma/Degree Stream Passing Year(YYYY) University/Board Institute/College Name Obtained Percent (In 00.00 Format)
10th* High School  
12th/Diploma* Higher Secondary/Diploma
Degree/Any Graduation*
PG/Other Qualification
Communication Address
State* District*
Pin Code.* Phone No.
Permanent Address(Same as Communication Address)
State* DISTRICT* Pin Code.*
Phone No.
City preferences for Qualifying Examination Center:*

First Preference
Second Preference Third Preference
Attach Photo with Signature*
Click here for photo sign format