Exam Registration Form

RASHTRIYA GRAMIN JAN VIKAS YOJNA is a Trust, focused on providing solutions .

RASHTRIYA GRAMIN JAN VIKAS YOJNA
ISO 9001:2015 Certified Trust
N.S-16,Top Floor,Mianwali Nagar,
New Delhi--110087, Website : www.rgjvy.com

( Exam Form)

Examination Details

Applied for Post (In Capital letters)

Registration Date*

Exam Fee: 299/-

Personal Information

First Name*

Middle Name

Last Name*

Father's Name*

Mother's Name

Date of Birth*

Mobile Number*

Email-Id

Gender*

Physical Handicaped

Yes

Correspondance Address

Address*

State*

City*

Pin Code*

Panchayat Name

Ward No

qualification Details

Sr.No

qualification

University/Board Name

Markes(%)

Passing Yrs

Work Experience Details

Sr.No

Designation

Employer Name

Duration From

Duration To

Associate info

Reference Name

Associate ID*

Upload image

* I hereby declare that all statements made in this application are true, complete and correct to the best of my knowledge and belief. I understand that in the event of any information being found false or incorrect, my candidature/appointment is liable to be cancelled/terminated. I further declare that I am liable for transfer anywhere in India, but shall not have any claim/right for transfer outside the language area/state for which I am selected.