APPLICATION FORM

Krishi Mitra Application Form

Personal Details

First Name: *

Last Name:

Date of Birth: *

Gender: *

Contact Number: *

Email: *

Aadhar Number: *

Education Qualification

Highest Qualification: *

10th Class School Name: *

10th Class Marks out of 100: *

12th Class School Name*:

12th Class Marks out of 100:*

Degree:*

College Name:*

Degree Marks out of 100:*

Address

State: *

District: *

Block: *

Panchayat / MC: *

Revenue Village / Wards: *

Sub Village:

Pin Code: *

Applicant Details & Verification

Job Title: *

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तीसरी मंजिल, एसटीपीआई बिल्डिंग,
विकास नगर, शिमला (हि.प्र.)
पिनकोड - 171009

गांव - सिधरोटी, डाकघर - लोअरकोटी,
तहसील रोहड़ू, जिला शिमला (हि.प्र.)
पिनकोड-171207