Umiya Career Development Council

(UPSC Batch)

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Personal Details
Your Full Name:*   Surname :*   First Name:*   Father/Husband Name:*
Present Address:* Permanent Address:*
Phone No (Home): (i.e. 079-22989098) Mobile No:* +91
[Don't ADD 0 or +91 - You will get SMS on this Number ]
Email Address:* (i.e. Date of Birth:*
Gender:* Blood Group:*
Select Center:* Patidar Type:*
Samaj Gol: Native Place:*
No Of Family Member*: Annual Income: (i.e.250000)
Hobby 1: Hobby 2:

Educational Qualification
Name of Degree Name of Board/University Year of Passing Percentage (%)
10th STD * SSC
12th STD * HSC
Graduation *

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I declare that the particulars given above are true.

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