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Name

Your email

Contact No.

AADHAR No.

PAN No.

D.O.B

Nationality

Category

GenOBCSCSTPD

Fasther's Name

Father's Contact No.

Mother's Name

Mother's Contact No.

Name of any 02 person apart from your parents in case of emergency:

Person One Name

Person One Contact No.

Person Two Name

Person Two Contact No.

Present Address

House No./Street No./Area

Country

State

City

Pincode

Correspondance Address

House No./Street No./Area

Country

State

City

Pincode

Educational Qualification

Secondary Education / 10th Class

Board/University

Year Of Passing

Marks Obtained

Total Marks

Percentage

10th Marksheet

Sr. Secondary Education / 12th Class

Board/University

Year Of Passing

Marks Obtained

Total Marks

Percentage

Sr. Sec Marksheet

I hereby declare that the information given in this application form is true and correct to the best of my knowledge and belief.

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Registration Fee: 300Rs

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