e-Rojgar Card Form

ESSC ID card (e-Rojgar Card) will be provided. 2. Discount on various paid conferences which will be organized by whole ESSC body. 3. Opportunity to participate in networking events. 4. Listing in membership directory (same as before we were providing) 5. Discount in ESSC academy and in its various courses Scholarship Opportunity. 6. Participation in different educational events (Including Career Counseling) 7. Student members can put their signature as a candidate Member – ESSC as their signature on their Gmail account and can put their designation as a candidate member – ESSC on their social networking sites.

1. Registration Details / पंजीयन का विवरण * अनिवार्य फिल्डस (Mandatory fields)
Applicant's full name / आवेदक का पूरा नाम *
( Full name as per the highest / latest qualification certificate or legal certificate )
Father's Name / पिता का नाम *
( Full Name As Per Educational/Legal Certificate )
Mother's Name / माता का नाम *
( Full Name As Per Educational/Legal Certificate )
Gender / लिंग *
Date of Birth / जन्म दिनांक * (dd-Mon-yyyy) / /
( As per high school certificate in 'dd-Mon-yyyy' format. i.e. '01-Jan-1990' )
Category / वर्ग *
Married Status / वैवाहिक स्थिति *
2. Contact Details / संपर्क विवरण
Phone with STD Code/ दूरभाष एस टी डी कोड सहित
Mobile Number / मोबाइल नंबर *
Email Address / ईमेल पता
3. Address Details / स्थायी पता विवरण
Address Line1/पता पंक्ति 1 *
Address Line2/पता पंक्ति 2
Block /ब्लाक *
State / राज्य *
District / जिला *
Pin Code / पिन कोड *
4. Educational / Qualification Details / शैक्षिक / योग्यता का विवरण
SL.No./क्र.सं. Qualification/ योग्यता Board/University/ बोर्ड / विश्वविद्यालय Passing Year/ पास वर्ष Marks/ अंक Percentage/ प्रतिशत
1. High School/ उच्च विद्यालय  
2. Intermediate/ इंटरमीडिएट
3. Graduation/ स्नातक
4. Post Graduation/ पोस्ट ग्रेजुएशन
5. BTC/ बीटीसी
6. B.Ed/ch.,M.
7. NTT/ एनटीटी
8. Other/ अन्य
5. Identification Details / पहचान की सूचना
Aadhar Card Number (if) / आधार कार्ड संख्या (यदि हो तो)
6. Fee शुल्क
7.Upload Photo / फोटो अपलोड करें *
( JPG,JPEG,GIF,PNG image with size upto 50 KB )
8. Declaration / घोषणा (यदि हाँ तो बॉक्स ( ) पर क्लिक ( ) करें)
I here by declare that all the information I have mentioned in the online application form for ESSC is true to my knowledge and belief. I also agree and will always abide by the rules and regulations of the ESSC and all the rules and decisions of the organization. I am aware that if any type of statement given above is found to be fales, my eligibility will be deemed to have expired before or after the appointment, apart from any other action which is deemed to be appropriate. Further I also understand that the organization will not be responsible for my loss due to any kind.
मैं घोषणा करता हूं कि ब्यौरे ईएसएससी के ऑनलाइन आवेदन पत्र में मेरे द्वारा प्रस्तुत अपने ज्ञान और विश्वास के अनुसार सत्य हैं। मैं नियमों और किसी भी कार्रवाई के बारे में ईएसएससी के निर्णय के पालन करने के लिए सहमत हूं । मेरी किसी प्रकार की क्षति के लिए ईएसएससी उत्तरदायी नहीं होगा।
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