Application Form For The Member Of NCPCR

Application Form For The Chairperson / Member Of NCPCR

Notice

The application deadline has been extended to 16 November 2026. Please complete your Application before the deadline.

1. Name of the Applicant* :

2. Aadhar Card No*. :

3. Upload Aadhar PDF File*. (File size should be less than 2 MB and must be PDF)

4. Gender* :

Male

Female

5. Date of Birth* :

6. DOB Document Type*.

7. Upload DOB PDF File*. (File size should be less than 2 MB and must be PDF)

8. Upload Recent Passport Size Photo*. (File size should be less than 2 MB and must be JPG/JPEG)

9. Contact Details :

Residential		Official
Address*	Telephone No*.	Address	Telephone No*.
State District Address		State District Address

10. Mobile No*. :

11. Email ID* :

12. Nationality* :

13. Applying for which post?

Chairperson

Member

Both

14. Kindly select the area of your specialization:

Child Education

Child health, care, welfare or child development

Juvenile justice/care of neglected or marginalized children/children with disabilties

Elimination of child labour or children in distress

Child psychology or sociology

Laws relating to children

15. Educational Qualifications: In case you need more space, kindly attach separate sheets in the same format.

S. No.	Name of Degree/Diploma (as printed on your certificate)	University/Place	Duration		Main Course of Study	Division Obtained	Upload Degree (PDF File)	Upload Marksheet (PDF File)	Action
S. No.	Name of Degree/Diploma (as printed on your certificate)	University/Place	From	To	Main Course of Study	Division Obtained	Upload Degree (PDF File)	Upload Marksheet (PDF File)	Action
1.	10th
2.	12th
3.	Graduate
4.	Post Graduate

16. Brief service particulars and experience: (Starting from the most recent post.)

S. No.	Designation	Organisation	Duration		Breif Description of Duties (Max 200 words.)	Upload Experience PDF File	Action
S. No.	Designation	Organisation	From	To	Breif Description of Duties (Max 200 words.)	Upload Experience PDF File	Action
1.

17. Additional information, if any, in support of suitability for the post: (Any other national or state level recognition / awards won / publications experience assignments ralevent to the requirements of the post applied.
(File size should be less than 2 MB and must be PDF)

18. Why do you think that you are the best candidate for the applied post(s)?(*)
Kindly attach a self written answer in not more than 800 words
(File size should be less than 2 MB and must be PDF)

19. References: Names,Designation and Contact Details of two referees,in responsible positions (Not being relatives). who are familiar with the work of the applicant.

S. No.	Name	Professional Details	Contact Details
S. No.	Name	Professional Details	Address	Email	Telephone No. / Mobile No.
1.			State District Address
2.			State District Address

20. It is certified that:

a) The information furnished in the application form and enclosed documents is correct;
b) I have not been convicted or sentenced to imprisonment for an offence under any law for the time being in force;
c) I have not been removed or dismissed from service of the Central or State Government or a body or corporation owned or controlled by Central or State Government:
d) if selected, I shall not hold office of profit or pursue any profession or carry on any business other than my office as Chairperson or Member, NCPCR.

Place* :

Date*

Signature*. (File size should be less than 2 MB and must be JPG/JPEG)

Note :
In case of any technical issue, Please contact us at nic-mwcd[at]gov[dot]in

महिला एवं बाल विकास मंत्रालय

Ministry of Women & Child Development

Application Form For The Chairperson / Member Of NCPCR