Note:Dear Candidates,Submission of the Preliminary information has been Closed as the last date is 28-02-2022

Notice:-Dear Candidates,It is to informed that the last date for submission of the Preliminary information in the prescribed proforma,is hereby extended up to 28.02.2022

Note:-Download proforma of service certificate for Main/Mini AWT,Contract Supervisors and Co-ordinator&Instructor from click on Guidelines menu button

PRELIMINARY INFORMATION FORM [To be filled by the candidates in Notification No. 203/E/2021 & 501/2021]
Hall Ticket Number:		Date of Birth	DD 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 MM 01 02 03 04 05 06 07 08 09 10 11 12 YYYY 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006
Details of Applicant
Name of the Candidate		Father/Husband Name
Application ID		Notification Number:

Please Submit Below Details
Name as per SSC:		Date of Birth As per SSC:
Designation	Select Anganwadi Teacher Existing Contract Supervisors Co-ordinater/Instructor of AWTCs/MLTCs
Place of Working	District: Select District      Project: Select Project      Sector: Select Sector
	AWC: Select AWC	Institution:
Date of Appointment		Service Certificate from the CDPO/DWO (File size should be less than 100 kb)
Bala Sevika Training	Select YES NO	Upload Bala Sevika Training Certificate with proper attestation with CDPO/DWO/RJD (File size should be less than 100 kb)
Local Status	Select	Local status as per PO 2018,Upload relevent document from 1st class to VII classs with proper attestation/"If not studied in a regular school, residence certificate e.t.c issued by Tahsildar for period specified in PO 2018 to be uploaded" see guidelines (File size should be less than 100 kb-- If having more than one certificate should club to single PDF document)
Caste/Community	Select SC ST BC-A BC-B BC-C BC-D BC-E OC	Upload Caste/Community Certificate issued by competent authority (File size should be less than 100 kb)
Belongs to EWS	Select YES NO	If YES,upload EWS certificate (File size should be less than 100 kb)
Person with Disability	Select Blindness & Low Vision Deaf & Hard of Hearing (Loco Motor Disability)including cerebral palsy,leprosy cured,dwarfism,acid attack victims and muscular dytrophy) Autism,Intellctual Disability,specific learning disability nad mental illness,multiple disabilities from amongst persons under clause(a) to (d) including deaf-bindness NO	If YES,Upload Disability Certificate issued by competent authority in SADAREM (File size should be less than 100 kb)
Disability(%)