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Applied For Admission Course |
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Name of the Applicant(Mr./Ms.)
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*
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Date of Birth
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*
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Mother's Name
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*
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Father's Name/Guardian's Name
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*
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Permanent Address |
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Correspondence Address |
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District |
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State |
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Pin Code
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*
Please enter six digits.
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Contact No. |
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Email ID |
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Category
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Gender |
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Nationality
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*
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Photo
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*
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Image Files Only (.jpg, .bmp, .png, .gif)
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