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* 1. Your full name

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* 4. If answer to above question is "Yes" then please answer...
1. What type of disability do you have?
2. What is the percentage of your disability?
3. Do you possess a government certificate for PwD status?

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* 5. Date Of Birth (Please ensure that you enter correct YEAR of birth and NOT 2023)

Date

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* 6. Your home town (write only city name)

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* 8. Language spoken at home

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* 9. Your personal mobile number (10 digits only)

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* 10. RE-ENTER your personal mobile number (10 digits only & should match with above mentioned mobile number)

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* 11. Your personal email id (please ensure correct spelling of xyz@gmail.com; you will receive notification for new mails on this id only.)

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* 12. RE-ENTER your email-id (should match with above mentioned email-id)

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* 23. Which of the following software can you use confidently?

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* 25. Do you speak any of the following languages (you may select more than one also)?

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* 26. Which of the following platforms you have used for online lectures/interviews/meetings?

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* 27. CPBFI Details..

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* 39. Please attach your CV

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

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* 40. Disclaimer:

T