Ubran Local Bodies Department, Haryana

Candidate Registration Form
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Discipline *

Category*

Domicile of Haryana *

(Domicile of Haryana State is required for all category Except General)

Candidate Name(Sh./Mr./Ms./Smt)*

    

Father's/Husband Name(Sh./Mr.)*

 

Mother Name(Smt.) *

 

Date of Birth *

 (dd/mm/yyyy)  
Candidate Born on or after 29/03/1974 for Upper age. 45yrs (for General Category)
Candidate Born on or Before 29/03/2002 for Lower age. 17yrs

Email-ID *

    

Confirm Email-ID *

    

Mobile No. *

   

Set Password *

  (minimum length 5 char)
-> Mininum length 5 Characters
->Allowed Alphanumeric Characters (0-9, a-z)
-> Allowed Special Characters @*#$^_( )

Confirm Password*

  (minimum length 5 char)
 
                   
  * This Information can not be edited once registration is done.