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Student's Regisration for the Session:

  • Personal Details:
  • * Student's Name:
  • * Date of Birth:
  • * Father's Name:
  • * Mother's Name:
  • Gender
  •          Caste
  • Physically Challenged?
  • Communication Details :
  • Email Id
  • Mobile Phone No.:
  • Land Phone# :
  • * Present / Communication Address:
  • * Address:
  • Landmark
  • District:
  • State
  • Country
  • Pincode
  • * Permanent Address
  • * Address:
  • Landmark:
  • District:
  • State
  • Country
  • Pincode
  • Please Tick your choice of the Subjects for the Course :- Stream: -
  • Compulsory Subjects:
  • * Educational Qualification:
  • Qualification: *
  • Passing Year :
  • Board Or University :
  • Division :
  • Percentage :
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