Application for BFT – MGNREGS
Rajanna sircilla District
Email address *
Name of The Candidate *
Your answer
Father Name *
Your answer
DOB (MM-DD-YYYY) *
MM
/
DD
/
YYYY
Sex (Male / Female) (please select appropriate item from the drop down list) *
Social Status (please select appropriate item from the drop down list) *
Age (as on date of notification) *
Your answer
Native District *
Your answer
Qualification *
Percentage of marks obtained in Diploma/ BE/B.Tech(Civil) (Excluding Languages) *
Your answer
Name of the College/Institution *
Your answer
Diploma /B.E awarded by (to specify the Board) *
Your answer
MGNREGS Job Card No(with 18 digits) *
Your answer
Number of days worked under MGNREGS Job Card *
Your answer
Year of work in MGNREGS *
Your answer
Email Address *
Your answer
Mobile Number *
Your answer
Address for communication (H-No,Street,Place ,City,District,State,Pin code) *
Your answer
Confirmation *
Required
A copy of your responses will be emailed to the address you provided.
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