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Application Form

Applicants Name
First Name Middle Name Last Name
Gender MaleFemale Date of Birth
Nationality Religion
Caste Category
Mobile No. Email Address
Residence Phone Aadhar No.
Correspondence Address Pin Code
Permanent Address Pin Code
Passport Number Issued at
Fathers Name Fathers Mobile
Mothers Name Mothers Mobile
Fathers Occupation Mothers Occupation
   
Prograames undergoing
       

Education Details

Exam Year Stream Board Obt. Marks Max, Marks Percent
Class X
Class XII
Graduation
Other
       
  I, undesigned here by declare to accept the responsibility for the regular payment of fees, other dues, good conduct and the observence of rules and regulation of the institute.
  I Agree    
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