Registration − Pratap Sewa Samiti (PSS), Sultanpur

Panchopeeran Mazar Road, Sultanpur

Online Registration Form

1. Post Applied for

Job Profile*

Upload Photo * ( JPG image)

2. Personal Details

Applicant's Name*

Father's/Husband's/Wife's Name*

Address

State (Navitity Place of Domicile)*

City (Navitity Place of Domicile)*

Mobile*

E-Mail*

Date of Birth*

Gender*

3. Details of Family Members

Relation	Age	Occupation
Father
Mother
Brother
Sister

3. Academic Qualifications

Examination Passed	Name of Board/University	Year of Passing	Subject (Major/Minor)

4. Languages Known

Language	Read	Write	Speak

5. Your Career Objectives/Ambitions

6. Computer Knowledge

7. Extra Activities

Hobbies/Extra Curricular activates*

Any Physical deformity/Contagious disease*

Are you Mobile to all over India Postings*

How much time you require to Join*

8. Declaration

* I hereby declare that the above information given above is true and correct. I hereby also undertake that my appointment is subject to above information/facts being correct.