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Educational Info.

University Enrollment No*

University Reg. No.*

Category*

Cast Certificate No.

12th Stream

Class

Stream*

Year

Personal Info.

Name of the Candidate*

Date of Birth

Email ID*

Gender*

Mobile No.*

Aadhaar No.*

Blood Group

Religion *

Sub Category*

Minority*

Caste *

Nationality *

Father's Name *

Father's Mobile No. *

Mother's Name *

father Occupation *

Income *

Marital Status *

Block *

Tehsil *

District *

State *

Permanent address*

Same as Permanent Address

Current Address

I Agree with the Admission Rules and Regulations.