Agriculture Counselling

First Name *

Last Name

Father First Name *

Father Last Name

Mobile Number *

Reservation Category *

Gender *

Date of Birth *

Aadhar Card Number *

Aadhar Card (in pdf) *

Profile Photo (Passport size) *

Graduation

Computer Certificate

Address *

District *

Pin Code *

Mandal Name

District *

Posting Place*

Soil Conservation UNIT/Block *

Bank Name *

Account Number *

IFSC Code *

MICR Code *

Upload Bank Passbook *

Nominee Name *

Nominee Relation *

Age *

Nominee Aadhar Card Number *

Upload Nominee aadhar card (in pdf/image) *

Bank Name *

Nominee account number *

IFSC Code *

Upload Bank Passbook (pdf) *

Family Photo (ESIC के लिए परिवार के साथ फोटो Size : 4x6) *