HAJ COMMITTEE OF INDIA
(Statutaory body of Ministry of Minority Affairs)
HAJ HOUSE, 7-A, M.R.A. MARG (PALTON ROAD), MUMBAI - 400 001 (INDIA)
Phone: 022-22717100, 022-22717149, 022-22717148, Fax: 022-22620920

APPLICATION FOR ADMISSION TO COACHING GUICANCE CELL (C&GC) 2018-19

The Director,
Coaching & Guidance Cell(C & GC)
Haj Committee of India,
Haj House,7-A, M.R.A. Marg,(Palton Road),
Mumbai - 400 001.

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Application form No.
Sir,
          I wish to appear in the Civil Services Examination conducted by the UPSC and would be grateful if I could be admitted for Coaching in the Coaching and Guidance Cell (C&GC) of Haj Committee of India. I shall abide by the rules and regulations enforced from time to time. My admission may be cancelled anytime without notice if my performance and / or conduct are found unsatisfactory.
 
Name Mr./Ms (Surname First) * :
Gender :
Male Female
Father's Name /Husband's Name * :
Are you Married ? :
Yes No
Date of Birth * :
(Ex. if your birth date is 01/04/1985 ie (DD/MM/YYYY) so in that case type 01041985 and press tab)
Father's / Gaurdian's Occupation :
Total Annual Income Rs. :
Postal Address :
PIN Code*
E-Mail ID * :
Telephone No. with STD code :
Mobile No. * :
Permanent Address :
PIN Code*
Telephone No. with STD code :
Reserved Category :
Do you Belong to OBC/SC/ST/Category, tick accordingly
OBC/ SC/ ST

Do you possess a valid caste certificate? Tick 'yes' or 'no'
Yes No

Appeared for final year of graduation examination : Even if you have appeared for the final year of graduation course and expect results by July/August end, Please give details below,mention 'results awaited' in the 'main subjects' column below.
Educational Qualifications*:Please write B.A./B.Com./B.E. in title of degree
Examination Passed Year Board/University Title of Degree. % Main Subject/s
High School
Higher Secondary(+2)
Graduation
Post-Graduation
Any Other
Have you appeared in UPSC Civil Services Examinations Earlier ?
If yes, give details below in ascending chronological order.
Yes No
Examination Year(s) Roll No. Result
Preliminary
Main
Personal Interview
Have you received coaching in any other coaching Institute?
If yes, please mention the name of the Institute and year(s).
For which part of CS Examination coaching do you wish to be admitted to C & GC? Please tick your choice--, CS prelims/CS Mains/ interview/ all the three
CS Preliminary / CS Main / CS Personal Interview Year
Choice of centre for Entrance Test*

"The Entrance Test will be held at Mumbai and other 5 cities mentioned in the application form. However in the intrest of co-ordinated and secured logistics, the Haj Committee of India may not operate centers where the number of candidates are very low. In such cases, the Haj Committee may allot nearest centre to the candidates. The decision of the Haj Committee of India in this regard will be final and no further correspondence will be entertained from the candidates "

1.Bangaluru 2.Delhi 3.Hyderabad
4.Kolkata 5.Mumbai 6.Patna 7.Srinagar
Date. Place.
Note:Kindly note candidate recent photo and signature is compulsory.
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