| Note: Columns
marked with * are compulsory to fill in. |
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Course*
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Stream*
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Surname
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First Name*
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(Names should be in
full. Initials & titles such as Mr, Ms, etc. are not allowed)
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Sex*
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Date of
Birth*
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(DD/MM/YYYY) |
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Present Address*
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(At Least First Two Address
Lines are to be filled)
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Permanent Address* |
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Email Address
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Mobile No*
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| Candidates's Family Information (
All Names should be in full (including surname if any). Initials
and titles are not allowed) |
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Father's Name*
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Email Address
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Mobile No
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Mother's Name*
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Email Address
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Mobile No
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Academic Information
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10th Standard
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Exam Name*
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Board/Council*
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Year of Passing*
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% of marks in Aggregate*
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12th Standard
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Exam Name*
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Board/Council*
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Year of Passing*
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% of marks in Aggregate*
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Details of marks obtained in
12th standard
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English*
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Physics*
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Chemistry*
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Mathematics*
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