CIMAP CENTRAL INTERNET FACILITY

Central Internet Facility Registration Form

Registration Form

ID No.

Title*

Full Name*

Gender*

Date of Birth*

Photo*

Upload only png or jpg image. file size maximum 100kb

Mobile No.*

EPABX No.*

Email ID*

Alternate Emal ID

Postal Address*

Permanent Address*

Religion*

Category*

Date of Joining*

Duration*

Designation*

Division*

Department*

Supervisor*

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