Job Application Form

District & Block Coordinator

Job Application Form

Please fill out the form below carefully with accuratee details. All fields marked with * are mandatory.

Personal Information

Full Name *

Date of Birth *

Father's Name *

Mother's Name *

Gender *

Marital Status *

Nationality *

Category *

Mobile Number *

Alternate Mobile Number

Email Address *

Current Address

Permanent Address *

10th (Matriculation) Details

Board/University

College/Institution Name

Year of Passing

Marks/CGPA

12th (Intermediate) Details

Board/University

College/Institution Name

Year of Passing

Marks/CGPA

Graduation Details

Board/University

College/Institution Name

Year of Passing

Marks/CGPA

Post Graduation Details

Board/University

College/Institution Name

Year of Passing

Marks/CGPA

Company Name

Designation/Role

Department

From Date

To Date

Job Type

Resume/CV * Upload Resume

PDF or DOCX (Max 2MB)

Passport Size Photo* Upload Photo

JPG or PNG (Max 500KB)

ID Proof* Upload ID Proof

PDF, JPG or PNG (Max 1MB)