| Candidate Basic Detail |
![Candidate Image]() |
| Name |
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| Date of Birth / Sex |
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| Native State |
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Accomodation Required |
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| Father/Guardian Name |
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| Relationship |
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Occupation |
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| Candidate Contact Detail |
| House No./Street |
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Area Name |
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| Town/City |
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District |
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| State |
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Pincode |
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| Email ID |
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| Mobile No. |
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| Candidate Educational Detail |
| Medium of Instruction |
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Mode of Study |
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| Status |
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Board |
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| School Name |
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Roll No. |
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| College Preferences |
| 1stCollege Preference |
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| Branch Preference for College-1 |
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| 2ndCollege Preference |
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| Branch Preference for College-2 |
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| 3rdCollege Preference |
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| Branch Preference for College-3 |
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| Payment Detail |
| Fee Description |
Amount |
Payment ID |
Transaction Date |
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| Declaration |
| I hereby declare that the entries in the application form are true to the best of my knowledge and belief. If any of the entry is found incorrect, I will not have any objection if my candidature for admission would be cancelled. I have carefully read all the instructions given in the prospectus and college manual. I hereby undertake to abide by them. I further declare that no criminal proceedings are under process against me in any court of law of the country or abroad. |
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