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* 1. Name

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* 3. Father's Name

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* 4. Date of birth

Date

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* 5. Address

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* 6. College/University

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* 7. Subject

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* 8. Academic Qualification - Class 10

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* 9. Upload the Class 12 Certificate

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* 10. Academic Qualification - Under Graduation

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* 11. Upload the Class 10 Certificate

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* 12. Upload the Class 12 Certificate

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* 13. Upload the UG Degree Certificate

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* 14. Upload the Forwarding Letter from Head of the Institutition

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* 15. Declaration: By submiting this form, I do hereby declare that all the information furnished are true to the best of my knowledge.

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