form January 8, 2022 admin Name Father Name Mother Name Date of Birth Gender MaleFemaleOther Category SCSTOBCGen.Min. Village Post Block Distt. AgraAligarhAllahabaadAmbedkar NagarAmethiAmrohaAuraiyaAzamgarhBastiBagpatBahraichBalliaBalarampurBandaBareillyBarabankiBijnorBudaunBulandshahrChandaulichitrakootDeoriaEtahEtawahFarrukhabadFatehpurFirozabadFaizabadGautam Buddha NagarGhaziabadGhazipurGondaGorakhpurHamirpurHapurHardoiHardorHathrasJalaunJaunpurJhansiKasganjKanpur DehatKanpur NagarKasganjKaushambiKhushi NagarLakhimpur KheriLalitpurLucknowMaharajganjMahobaMainpuriMathuraMauMirzapurMoradabadMeerutMuzaffarnagarPilibhitPratapgarhRaebareliRampurSaharanpurSambhalSant Kabir NagarSant Ravidas NagarShahjahanpurShamliShravastriSidharth nagarSitapurSonbhadraSultanpurUnnaoVaranasi Pin State Andhra PradeshArunachal PradeshAssamBiharChandigarhChhattisgarhDelhiGoaGujaratHaryanaHimachal PradeshJammu and KashmirJharkhandKarnatakaKeralaMadhya PradeshMaharashtraManipurMeghalayaMizoramNagalandOdishaPunjabRajasthanSikkimTamil NaduTelanganaTripuraUttar PradeshUttarakhandWest Bengal Email ID Mobile No. Whatsapp No. Working Area as a Priority AgraAligarhAllahabaadAmbedkar NagarAmethiAmrohaAuraiyaAzamgarhBastiBagpatBahraichBalliaBalarampurBandaBareillyBarabankiBijnorBudaunBulandshahrChandaulichitrakootDeoriaEtahEtawahFarrukhabadFatehpurFirozabadFaizabadGautam Buddha NagarGhaziabadGhazipurGondaGorakhpurHamirpurHapurHardoiHardorHathrasJalaunJaunpurJhansiKasganjKanpur DehatKanpur NagarKasganjKaushambiKhushi NagarLakhimpur KheriLalitpurLucknowMaharajganjMahobaMainpuriMathuraMauMirzapurMoradabadMeerutMuzaffarnagarPilibhitPratapgarhRaebareliRampurSaharanpurSambhalSant Kabir NagarSant Ravidas NagarShahjahanpurShamliShravastriSidharth nagarSitapurSonbhadraSultanpurUnnaoVaranasi AgraAligarhAllahabaadAmbedkar NagarAmethiAmrohaAuraiyaAzamgarhBastiBagpatBahraichBalliaBalarampurBandaBareillyBarabankiBijnorBudaunBulandshahrChandaulichitrakootDeoriaEtahEtawahFarrukhabadFatehpurFirozabadFaizabadGautam Buddha NagarGhaziabadGhazipurGondaGorakhpurHamirpurHapurHardoiHardorHathrasJalaunJaunpurJhansiKasganjKanpur DehatKanpur NagarKasganjKaushambiKhushi NagarLakhimpur KheriLalitpurLucknowMaharajganjMahobaMainpuriMathuraMauMirzapurMoradabadMeerutMuzaffarnagarPilibhitPratapgarhRaebareliRampurSaharanpurSambhalSant Kabir NagarSant Ravidas NagarShahjahanpurShamliShravastriSidharth nagarSitapurSonbhadraSultanpurUnnaoVaranasi AgraAligarhAllahabaadAmbedkar NagarAmethiAmrohaAuraiyaAzamgarhBastiBagpatBahraichBalliaBalarampurBandaBareillyBarabankiBijnorBudaunBulandshahrChandaulichitrakootDeoriaEtahEtawahFarrukhabadFatehpurFirozabadFaizabadGautam Buddha NagarGhaziabadGhazipurGondaGorakhpurHamirpurHapurHardoiHardorHathrasJalaunJaunpurJhansiKasganjKanpur DehatKanpur NagarKasganjKaushambiKhushi NagarLakhimpur KheriLalitpurLucknowMaharajganjMahobaMainpuriMathuraMauMirzapurMoradabadMeerutMuzaffarnagarPilibhitPratapgarhRaebareliRampurSaharanpurSambhalSant Kabir NagarSant Ravidas NagarShahjahanpurShamliShravastriSidharth nagarSitapurSonbhadraSultanpurUnnaoVaranasi ID Details Aadhar Card,voter id etc. Educational Qualification - High School Intermediate Graduation Diploma in computer Upload Your Photograph Field Experience (only health sector)
