| Roll No | 000 | |
| Applied for | () | |
| Candidate's Name | ||
| Father's Name | ||
| Gender | ||
| Date of Birth | ||
| Category |
| Written test Centre | Date, Time & Venue | |
| Date & time of reporting at the Centre | ||
| Time of gate closing at the Centre | ||
| Time of written test | ||
| Venue: | Dr. M. K. Bhan Auditorium | |
| To be signed before the invigilator | |
| Candidate's Signature | Invigilator's Signature |