ECMS - The Education Committee of The Maheshwari Samaj (Society),Jaipur

MEDHA Yojna Selection Application Form

Note: All ‘’ marked fields are mandatory. Please mention ‘NA’ if not applicable.

To,
               The Convener,
               MEDHA Yojna Selection Committee
               The Education Committee of The Maheshwari Samaj (Society)
               Jaipur

Respected Sir,
               I am applying for MEDHA yojna with the following details.

Photograph
Upload passport size photograph (JPG/PNG)
(file size not more than 500 KB)
Width X Height - 400 X 400 Px

Competition Examination Applied for

IAS and Allied

RAS and Allied

RJS

DJ Cadre (Direct Recruit)

Personal Information

Name
Father's Name Mother's Name
Address for Communication

City State PIN
Permanent Address (if different from Address for Communication)

City State PIN
Contact Details
Landline No.(Office) Landline No.(Residence) Mobile No Whatsapp No. E-mail
Current Occupation
Occupation Annual Income Income Proof

Previously appeared competitive examination details (if any)

Sr.No.	Examination Name	Year	Result

Academic Details (From class 10 to latest examination appeared.)

Sr. No.	Examination Name	Year	Board/ University	%age of Marks/CGPA	Other Details
1.
2.
3.
4.
5.

If you were a student of ECMS Goverened school/collage

Sr. No.	School/ Collage Name	Year From	Year To	Classes	Any Achievement
1.
2.
3.

Your Hobbies (In Priority Order)

1. 2. 3.

Details About Achievements in Extra Co-curricular Activities (Sports,Writing,Debate etc.)

Sr. No.	Details
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

NCC, Scout, Guide, NSS (Participation Details)

Sr. No.	Details
1.
2.
3.
4.
5.

Other Achievements

Sr. No.
1.
2.
3.
4.
5.

Family Description

Father's Occupation Father's Qualification Annual Income Income Proof

Mother's Occupation Mother's Qualification Annual Income Income Proof

Sibling Information

Sr.No.	Name	Age in years	Occupation	Qualification	Income

Source of Motivation for competitive examinations (25 Words)

Date

Place

Declaration by the Candidate

I S/o, D/o, W/O age hereby declare that all the information given by me in this application is true and correct to the best of my knowledge and belief. I also note that if any of the above statements are found to be incorrect or false or any information or particulars have been suppressed or omitted there from, I am liable to be disqualified and my application form may be cancelled. I have read and understood the contents of the application. I hereby permit the Organization to use, display or transfer any of the details furnished by me in this form for complying with the application formalities.

MEDHA Yojna Selection Application Form

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