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VAJIRAM & RAVI [INSTITUTE FOR IAS EXAMINATION]
9-B, Bara Bazar Marg, Old Rajinder Nagar, New Delhi – 110 060
Tel. No. 25820000, 25734058, 43306017
Website: www.vajiramandravi.com
APPLICATION FORM UPSC Roll No.: _________________ (if received)
1. Name in Full: _________________________________ (in Block Letters) 2. Date of Birth: _________________________________
3. Father's Name: _______________________________
Occupation: __________________________________
4. Do you belong to SC/ST/OBC? (Yes / No)
(If yes, please mention the category) ____________________________
5. Permanent Address: _____________________________
_____________________________
_____________________________
6. Mailing Address _____________________________
_____________________________
_____________________________
Tel./Mobile No. _________________
7. E-mail Address _____________________________
8. Particulars of Educational Qualification ___________________________________________________________________ Examinations Name of College/ Year of Subjects Percentage of marks Passed University Passing Offered obtained ( Note: to be filled from 10th std )
___________________________________________________________________
Payment Details: Bank DD No.---------------- dated--------------
Bankers’ Name -------------------------------- Amount Rs.___________ P.T.O……
Staple THREE Passport
size photographs here
9. Have you appeared in the Civil Services ________________________________ Examination earlier?
If so, write the year and marks obtained: ________________________________
10. Mention subjects for which personal i) PRELIM-CUM-MAIN
guidance is required:
(a) General Studies Yes/No
(b) CSAT Yes/No
ii) MAIN EXAMINATION:
(a) General Studies: Yes/No
(b) Optional: -----------------
-----------------
11. Mention subjects for which postal MAIN EXAMINATION
guidance is required:
(a) General Studies: Yes/No
(b) Optional: -----------------
-----------------
Place: ______________ Signature of Applicant
Date: _______________
----------------------------------------------------------------------------------------------------------------
FOR OFFICE USE ONLY
Admitted on _________________________ for_____________________________
Date:___________ ADMINISTRATIVE OFFICER COURSE DIRECTOR