Malgodam
Application Form
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Full Name
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Malgodam
Application Form
1. Name
Required
2. Father's Name
Required
3. Mobile Number
Required
4. Password
Required to create employee account
Required
5. Email ID
Optional
6. Date of Birth
Required
7. Gender
Select Gender
Male
Female
Other
Required
8. Education
Select Education
B.E.
No Education
5th
8th
10th
Graduation
B.A
12th
Required
9. PAN Number
Required
10. Aadhaar Number
Required
11. Applying for Post
Select Post
Executive Member (Salary ₹17,250)
Coordinator (Salary ₹21,250)
Supervisor (Salary ₹25,250)
Divisional Coordinator (Salary ₹31,250)
Required
12. State
Select State
Madhya Pradesh
Rajasthan
Gujrat
Uttar Pradesh
Maharastra
Delhi
Odisha
Manipur
Hariyana
Andhra Pradesh
Bihar
Punjab
Uttrakhand
Chattisgarh
Tamil Naddu
Karnataka
Hariyana1
Required
13. District
Select District
Required
14. Pincode
Required
15. Full Address
Required
16. Bank Account Number
Required
17. Bank Name
Required
18. Bank IFSC Code
Required
19. Account Holder Name
Required
20. Applicant Photo
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JPG, PNG, WEBP — Max 5 MB
✕
Required
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