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Name:

Date of Birth:

Gender: Male Female

Religion:

Phone No.:

Email ID:

Address

Are you differently able?         Yes     No

if yes enclosed certificate during admission.

Category:

Nationality:

Father's Name:

Father's Contact No.:

Mother's Name:

Mother's Contact No.:

Honours:

Combination Subjects:

i).

ii).

Last class attended:

Board / University:

Year of Passing:

Pass Percentage:

School / College last attended

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