Candidate Name:


Mobile No:


Email Id:


Have you worked as Contractual Security Guards for a period of atleast six months with FCI PUNJAB prior to 22.08.2002 ?


Are you working as Casual Workers in FCI PUNJAB as on 31.12.2012 ?


Select Category:


Select Gender:


Select Religion:


Whether Ex-Servicemen (Select Yes if applicable) :


Are you seeking Age relaxation:


Whether Physically Challenged:


Nature of Physically Challenged:


Whether Departmental Candidate:

First Choice of Exam City:
Second Choice of Exam City:
Third Choice of Exam City:

Date of Birth (As per recorded in School / Matriculation / Birth certificate) :


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