Side 2 of Application Form

Side 1 of Application Form

Side 2 of Application Form

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Column 13 and 14

Column 15 to 24

Column 13 : (I) Are you residing in a remote area or abroad

If you are residing in a remote area specified in Para 6 of the Notice of the Examination or abroad, darken circle 1 against Yes and write 1 in the box; or

If you are not residing in a specified remote area/abroad, darken circle 2 against No and write 2 in the box.

N.B. : Candidates residing in a remote area specified in the Notice of the Examination or abroad are entitled to one week’s additional time for submission of application form.

(II) If yes, indicate area code :

Darken the appropriate circles for the area code as given below and then write the same code in the boxes.

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AREA CODE FOR REMOTE AREAS AND ABROAD
Area	Code	Area	Code
Assam	01	Jammu & Kashmir	09
Meghalaya	02	Lahaul and Spiti District and Pangi Sub Division of Chamba District of Himachal Pradesh	10
Arunachal Pradesh	03
Mizoram	04
Manipur	05
Nagaland	06	Andaman & Nicobar Islands	11
Tripura	07	Lakshadweep	12
Sikkim	08	Abroad	13

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Column 14 : Examination Centre Code

Choose the Examination Centre from the list given below where you wish to appear and note its code. Darken the appropriate circles and then write the same code in the boxes.

Do not indicate more than one centre.

List of centres of Examination
Centre	Code	Centre	Code	Centre	Code
Agartala	45	Gangtok	42	Panaji (Goa)	36
Ahmedabad	01	Hyderabad	10	Patna	15
Aizawl	47	Imphal	44	Port Blair	37
Allahabad	02	Itanagar	48	Raipur	49
Bangalore	03	Jaipur	11	Ranchi	41
Bareilly	54	Jammu	34	Sambalpur	53
Bhopal	04	Jorhat	46	Shillong	16
Chandigarh	35	Kochi	24	Shimla	17
Chennai	12	Kohima	43	Srinagar	18
Cuttack	07	Kolkata	06	Thiruvananthapuram	19
Dehradun	14	Lucknow	26	Tirupati	50
Delhi	08	Madurai	40	Udaipur	52
Dharwad	39	Mumbai	05	Vishakhapatnam	51
Dispur	09	Nagpur	13

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Column 15 to 24

AREA CODE FOR REMOTE AREAS AND ABROAD

List of centres of Examination