Applied For
Full Name
Father Name
Mother Name
Date of Birth
Sex
Correspondence Address
State
District
City
Same As Correspondence Address
Permanent Address
Contact no.
Email Address
PIN
Nationality
State of Domicile
Examination Passed(X)
Year Of Passing
Name Of School
Percentage
Subject
Examination Passed(XII)
I declare that the information given in the application form is true. I also declare that I have not applied earlier with the same written score in the same category. The application, if found incorrect, at any stage, may be rejected without notice.
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