Name Father/Husband Name Date Of Birth Aadhar Number Mobile Number Email Qualification 12th Total Marks (पूर्णांक) Marks Obtained (प्राप्त अंक) Percentage (प्रतिशत) Qualification Graduate Total Marks (पूर्णांक) Marks Obtained (प्राप्त अंक) Percentage (प्रतिशत) Diploma in Qualification Dropdown None D.ed B.ed Dca GNM ANM Nursing ITI State district Block/Tehsil Post Office Village/City Pin Code Password Submit