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BASIC INFORMATION

Course Type (For Admission) *

Applicant's Name *

Birth Date *

Email *

Mobile No. *

Father's Name *

Mother's Name *

Parent's Mobile No. *

No. of Siblings *

Category *

Gender *

Disability *

Nationality *

Locality *

Urban
Rural

Aadhar Number *

Religion *

Is Minority

Profile Photo *

Signature Photo *

Present Address Details

Address *

State *

District *

Taluka *

Pincode *

Permanent Address Details

Address *

State *

District *

Taluka *

Pincode *

ACADEMIC DETAILS

H.S.C. / Diploma (Equivalent) Details

H.S.C. / Diploma (Equivalent) *

H.S.C.
Diploma (Equivalent)

Exam Board *

Passing Year *

Seat No *

Percentage *

Marksheet *

S.S.C. Details

Exam Board *

Passing Year *

Seat No *

Percentage *

Marksheet *