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Personal Details

APPLYING FOR

CHOOSE A COURSE
STUDENT’S NAME

Contact NO
WHATSAPP NO

EMAIL ID
DATE OF BIRTH
GENDER
- Male
- Female
CATEGORY
- General
- OBC
- SC/ST
Aadhaar
HOSTEL FACILITY REQUIRED?
- Yes
- No

Guardian information

Guardian Name
Relationship
- Father
- Mother
- Husband
- Others
Contact Number

EMAIL ID

Permanent Address

State

City
Pincode

Address

Academic Details

Class 10th Details

School Name
Board Name

Passing Year
Result Status

Percentage(%)/CGPA of marks obtained

Class 12th Details

School Name

Stream
Board Name

Passing Year
Result Status

Percentage(%)/CGPA of marks obtained

Graduation Details

College Name

Course
University Name

Passing Year
Result Status

Percentage(%)/CGPA of marks obtained

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