CRAV Application Form 2022-23

[Note: Kindly fill the details carefully before submitting the form.  Once submitted, you cannot edit the application form and this is valid till 25th January, 2023]

Email *
Email *

Preference for Examination Centre:

(Preference will be given on first come first serve basis, subject to availability.  Candidates must have to opt any one Center in each row.)

 *
New Delhi
Pune
Jaipur
Bengaluru
Varanasi
Thrissur
Center-1
Center-2
Aadhar No.
 *
PAN No. (in BLOCK LETTERS)
Candidate’s full Name (in BLOCK LETTERS)
 *
Mother’s Name  (in BLOCK LETTERS)
 *
Father’s Name (in BLOCK LETTERS)
 *
Gender :
 *
Required
Marital Status: 
 *
Required
Category :
 *
Required
Date of Birth
 *
MM
/
DD
/
YYYY
Age as on 25.01.2023
(Write Year/Month/Days):
 *
Seeking age relaxation :
 *
Required
If Yes:

(Note: 1. OBC candidates have to submit their certificate which is approved by Government of India only.

2. In case of Sponsored candidates he/she must send his/her NOC from respective Government).

Complete Present Address (H.No., Landmark, Post Office,  State & Pin Code- in BLOCK LETTERS):
 *
Complete Permanent Address  (H.No., Landmark, Post Office,  State & Pin Code- in BLOCK LETTERS):
 *
E-mail: 
 *
Mobile No: *
Academic qualifications (with self attested copies of all Certificates): 
 *
Date of completion of Internship:
 *
MM
/
DD
/
YYYY
Medical Registration Number & Year: 
Application Fee:
(Rs. 2000 for General, PH, EWS & OBC and Rs. 1000/- for SC/ST candidates)
 *
Required
Application Send in Hard Copy with all self-attested documents by 
(Select any one only)
 *
Required
A copy of your responses will be emailed to the address you provided.
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