PAASA Application Form

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COMPUTER CENTRE

Name of the Candidate
Date of Birth
Father/Guardian's Name
Gender	Male Female
Annual Income of Parent
Communication Address
City
State
Pincode
Telephone
Mobile
Email ID
Nationality
Community	OBC SC ST Open
Differently Abled ? Yes No If Yes, Select Category

Upload Photo	(Image size should be less than 150kb and should be in jpg/jpeg format)

Work Experience, if any:

Educational Qualifications:

Declaration

I hereby declare that the above information provided by me is true and correct to the best of knowledge and belief.