Name:

Address of Correspondence:

Mobile No.:

Email ID:

Father's Name:

Mother's Name:

Nationality:
IndianNon-Indian

Date of Birth:

Qualification:
10th12thGraduationPost GraduationDiploma

Univ/Board:

Passing Year:

Percentage of Marks:

Course Applying For:
UPSCSTATE PCS

Foundation Batch:
3year Foundation 1year Foundation

Passport-size Photograph:

Signature:

Payment:
One Time PaymentInstallment