c) Category General SC ST OBC Marital Married Unmarried e) Disability, if any PH VH HI d) Status Percentage (%) of Disability (a) Date of Birth (in figures) Date Month Date of Birth (in words)……………………………………………………… Identification Mark………………………………………………………….. Details of school(s) where candidate studied classes VI to VIII. Particular Class VI VII VIII Name of School Recognised by Govt. of Education (Write Yes/No) District & State School Location (Rural/Urban) Name of Block Name of Village or Town (in the School is located) & Year of joining Month & Year of Passing Medium through candidate studied Class VIII : English Others CERTIFICATE BY CANDIDATE/GUARDIAN Certified that the information given above is true to the best of my knowledge and belief. In case any of the information given above is found incorrect, I will abide by the decision of the Samiti. Signature of Father / Guardian (With date) Signature of Candidate (With date)
c) Category General SC ST OBC Marital Married Unmarried e) Disability, if any PH VH HI d) Status Percentage (%) of Disability (a) Date of Birth (in figures) Date Month Date of Birth (in words)……………………………………………………… Identification Mark………………………………………………………….. Details of school(s) where candidate studied classes VI to VIII. Particular Class VI VII VIII Name of School Recognised by Govt. of Education (Write Yes/No) District & State School Location (Rural/Urban) Name of Block Name of Village or Town (in the School is located) & Year of joining Month & Year of Passing Medium through candidate studied Class VIII : English Others CERTIFICATE BY CANDIDATE/GUARDIAN Certified that the information given above is true to the best of my knowledge and belief. In case any of the information given above is found incorrect, I will abide by the decision of the Samiti. Signature of Father / Guardian (With date) Signature of Candidate (With date)
Conduct_Lateral_Entry_Test_2017(1).docx