Mobile (Username) *
[Enter Your Mobile Number without 91 or +91 As. 9999988888]
Applicant Name *
Enter candidate name as per matriculation certificate *
[Note: 1. Name as per record in the Matriculation / Secondary
Examination Certificate]
[Note: 2. Please do not use any prefix as Shri./Mr./Ms./Dr./Mrs.
Etc]
Enter your 16 digit virtual
aadhaar Id *
Have you ever changed your name? *
Enter your current name *
Gender *
Female Status *
To which category do you belong *
Select your SC type
*
Select your caste
*
Upload Category Certificate
*
Only PDF allow with max size 2MB
Enter Saral Certificate No.
*
Enter Saral Certificate Token No.
Enter Saral Certificate Issue Date
*
Do you belong to creamy layer of Backward class (BC-A/ BC-B) ? *
Please Select Your Applicable
Sub-category*
Upload Applicable
Sub-category Certificate *
Only PDF allow with max size 2MB
Are You a Disabled Ex-Servicemen:
*
Please Select Applicable Category:
*
Select your service
experience period*
ESM ID Card Number:
*
Date of Issue of ESM ID Card:
*
Date of Discharge from service:
*
Are You a Family Member
(Son/daughter/spouse) Of Disabled ESM? *
Please Select Applicable Category:
*
The Serial No. of eligibility register:
*
Date of issue of the DESM certificate:
*
Renewed upto: *
Select Your ESM/DESM Priority As Per Condition Mentioned At Point 11(ix) (E) Of Advertisement
*
Select Your category : *
Select Your Sub
Category category : *
Please Select Defence Category:
*
Date of Birth *
Age as on closing date :
Email *
[Enter Your current and active E-mail Address]
Enter Captcha *
Enter Mobile
OTP *
