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Add Applicant
Personal Details Of Applicant :
* Zone Name : Why Samaj Selection?
* Gender : MALE FEMALE
*Applicant First Name:
Father/Husband Name :
* Surname :
Gotra :
* Native :
* Date Of Birth :     OR    Age (in Years only) :
Birth Place :
* Password :
* Confirm Password :
Blood Group :
Blood Donor? : Check this box for YES
Marital Status :
* Current Activity :
Contact Details Of Applicant :
Resident Address:
 
Country:
State:
District:
Taluka:
City / Village:
Area / Suburb:
Pin:
Phone Res. : (Use "," for more Nos.)
Mobile 1 : (10 Digit Only)
Mobile 2 : (10 Digit Only)
Email : Why Email ID? 
Confirm Email:
Educational Details Of Applicant :
Highest Education :
Professional Details Of Applicant :
Occupation :
Occupation Type :
Occupation Details :
Company Name :
Office Address :
 
 
 
Country:
State:
District:
Taluka:
City / Village:
Area / SubUrb:
Pin:
Phone Office : (Use "," for more Nos.)
Fax:
Office Email :
Website:
Other Details Of Applicant :
Special Activity :
Handicap? : Check this box for YES
Applicant Photo :
 
How to upload a photo?
1- Click on the Browse button and select photo in either JPG or GIF format.
2- File size Preferably less than 1 MB and photo should be Passport Size.
3- Click on Open, Upload and your photo is uploaded.
Active in Other Sanstha/Sangh/Mandal :
 
Name : Place : Designation :
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