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Compulsory Subjects (For Part-1 only)
Choose Optional Subjects
Option A
--Select Subject--
Option B
--Select Subject--
Option C
--Select Subject--
Name of the Applicant(Mr./Ms.)
Required
Date of Birth
Required
Gender
Male
Female
Father's Name
Required
Mother's Name
Required
Mobile no.
Required
Please enter 10 digits.
What’s App no
Aadhar Number
Email Address
Category
General
SC
ST
OBC
MBC
PH
Other
Nationality
Required
Account Holder Name
Account Number
Bank Name
Branch Name
IFSC Code
Correspondence address
Address
Required
District
Required
State
Required
PIN Code
Required
(Same as Above)
Permanent Address
Address
District
State
PIN Code
Academic Qualification
Class
Year
Total Mark’s
Obtained Marks
Percentage of Marks
School/College Name
Board/University Name
Applicant Photo
Required
Please select a valid Image file.
Applicant Signature (Self Sign)
Required
Please select a valid Image file.
Signature of the Parent/ Guardian
Required
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Payment Option
Fee Amount
0.00
INR
Payment Mode
Cash Deposite
Online Banking
Other
Payment Slip
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