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Forms
34th PROFESSIONAL SKILL UP-GRADATION COURSE (PSUC)
Note:- fields marked with * are compulsary to be filled.
1. Select Your Name from nomination list
*
Select
Lalduhthlana
Lalnunsanga Khawlhring
M.Z. Singson
Margaret Lalramchhani
P.C. Lalchhandama
Dr. Vijay Laxmi
Naresh Kumar Ranga
Rajesh Arya
Subhash Chander Yadav
Anish Sharma
Narendra Prakash Bharot
Rakesh Kumar
Raman Sharma
Suveena Thakur
K.N. Syam Mohanlal
P.K. Jayakumar Sharma
S. Jayasankar
Appasaheb Subhash Nikat
Dharmveer Dagadu Salvitthal
Krishna Babaji Bhavar
Mahadev Namdev Mohite
Nandkishor Vyankatesh Kale
Pramodkumar Baburao Panchbhai
Saipur Imam Shaikh
Santosh Dattatray Saste
Smt. Suvarna Ravindra Mane
Umesh Gorkshnath Wawre
Vijay gajanan Mane
H. Tokaho Kinimi
Ashwini Kumar Kar
Bikash Ranjan
Rajangam K.
Ramesh Chandra
Neeraj Kumar
Sarvesh Kumar
Subodh Kumar Kala
Kamal Arora
P.N. Mishra
Anil Kumar Shukla
Prakash Kumar Verma
M.S. Uike
Harjinder Singh
Rajesh Kumar
2. First Name (Max:75 Characters)
*
3. Middle Name (Max:75 Characters)
*
4. Surname (Max:75 Characters)
*
5. Gender
*
Male
Female
6. Year of Allotment
Select
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
7. Cadre
*
Select
AGMUT (Arunachal Pradesh, Goa, Mizoram & Union Territories)
AGMUT (Jammu & Kashmir and Ladakh)
Andhra Pradesh
Assam – Meghalaya
Bihar
Chhattisgarh
Gujarat
Haryana
Himachal Pradesh
Jharkhand
Karnataka
Kerala
Madhya Pradesh
Maharashtra
Manipur
Nagaland
Odisha
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
8. Please confirm your participation
*
Yes
No
9. Present Posting
*
10. Job Title/Designation (Max:100 Characters)
*
11. Organization (Max:100 Characters)
*
12. Postal Address (Max:150 Characters)
*
13. City/Town (Max:50 Characters)
*
14. Pincode
*
15. State/UT
*
Select
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chhattisgarh
Goa
Gujarat
Haryana
Himachal Pradesh
Jharkhand
Karnataka
Kerala
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
Andaman and Nicobar Islands
Chandigarh
Dadra and Nagar Haveli
Daman and Diu
Delhi
Jammu and Kashmir
Ladakh
Lakshadweep
Puducherry
16. E-mail ID (provide your email you check regularly) (Max:100 Characters)
*
17. Alternate E-Mail ID if available (Max:100 Characters)
18. Phone Number (Office) with STD Code
*
STD Code
*
Phone Number
*
19. Phone Number (Residence) with STD Code
STD Code
Phone Number
20. Fax Number (Office) with STD Code
STD Code
Phone Number
21. Mobile number (whatsapp) (Max Length: 10 Characters)
*
22. Alternate Mobile number (Max Length: 10 Characters)
23. Your Name as you would like to appear on Name Tag (Max:50 Characters)
*
24. Your Name as you would like to appear on Certificate (Max: 50 Characters)
*
Educational Qualification and Experience Details
Note: Please do not use any special characters like &, $, * etc., in the fields
25. Educational Qualifications (Max:100 Characters)
*
26. Sectors of Work Experience acquired in Service (Max:100 Characters)
*
27. Sectors of Work interested acquired in Service (Max:100 Characters)
*
Bank Details
28. Bank Name
*
29. Branch Name
*
30. Account Number
*
31. IFSC Code
*
32. Passbook Name
*
Type Captcha Code:
*
Submit
IF you have any query or question, please contact us @ Telephone No : 0135-2225231/Email Id: ignfaistcell@gmail.com