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APPLICATION FORM

First Name (Max 50 Characters Allowed)
Last Name (Max 50 Characters Allowed)
Email ID
Mobile Number
(Student)
(10 Digits Allowed)
Parent/Guardian Number
(if parent is not alive)
(10 Digits Allowed)
Gender Male Female
Nationality
Religion
Caste SC ST BC OBC
Date of Birth(DOB)
Address


City (Max 50 Characters Allowed)
Pin Code (Max 6 Numbers Allowed)
State (Max 50 Characters Allowed)
Country
Course Applying for

% Marks obtained
(if Not Leave below places)

10th

PUC/+2/Higher Secondary

Degree

Others

Whether the candidate is and NRI Foreign National Yes No
Occupation of the parent/Guardian And annual Income


Highest Exam Passed with Year
Name of the school/college last attended with address


Date Of Leaving the school/college
Qualification



Pre-School
Secondary Education
High School(10th)
Higher School(12th)
Graduation(Bachelors)
Post Graduation(Masters)
Tick the course applied for:
Registration Date:

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