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BARTI IBPS Clerical Application Form to register for Coaching Class-2013-14 www.barti.cdac.in

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BARTI IBPS Clerical Application Form to register for Coaching Class-2013-14 www.barti.cdac.in

1. Full Name
(Surname) (First Name) (Father/ Husband’s Name)
_____________________________________________
2. Date of Birth : ___________
3. Category : (SC/VJ/NT/SBC/OBC/ST/Minority)
4. Caste (Sub-caste) : ____________
5. Gender : (Male / Female)

6. Correspondence Address :
____________________________________
______________________________________
7. Permanent Address :
______________________________________
______________________________________
8. Mobile No. : ____________ * Landline : ____________
9. Email : _____________________
10. HSC Marks (%) : ____

11. Graduation Marks (%) : ____
12. Post Graduation : Yes / No
13. Total family Income (per annum) : ____________
14. Physically Disabled : Yes / No (If yes, please give details) : _____________
15. Select the city : Pune Nagpur Aurangabad
16. Batch Preference : Ist Batch IInd Batch
17. Please attach copy of Caste Certificate, HSC Certificate, and Graduation Certificate.
18. * Please mention the area in Pune City you want the class to be held:________________
19. * Please produce Income Certificate by the time of form submission itself. Late submission of the certificate will not be entertained in any case.
Signature of the candidate.

Application Form Download Here

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