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Apllicant's Personal Details

Name *

Date of Birth*

Gender*

Blood Group*

Religion*

Nationality*

Marital Status*

PH*

Caste*

Sub-Caste*

Father's Name*

Mother's Name*

Father's Ocupation*

Mother's Ocupation*

Guardian's Name*

Relationship with the Guardian*

Guardian's Mobile No*

Annual Family Income*

If,BPL (BPL Number)*

Minority*

Contact Details

Phone with STD*

Mobile*

Emergency Number*

Email*

Address1*

Address2*

State*

District*

PIN*

Police Station*

Last Examination Details

University Roll Number*

University Registration Number*

Session*

Subject(Compulsury : ENVS)*

Addmission Details

Addmission in*

Student Type*

Stream*

Honours*

Combination*