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Education Details
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Last Exam Passed
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Date
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Board/University Name
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Enclosures Details
Please attach true copy of follwing Marksheet/Certificates for Application
HSC/Previous Sem Marksheet for (SEM-III/SEM-V)
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Aadhar Card
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School Leaving Certificate
Handicap Certificate
Bank Statement
Sem 1/2 Marksheet copy attach with Sem 3/4
Sem 3/4 Marksheet copy attach with Sem 5/6
Caste Certificate for (SC/SEBC/OBC/ST/MINORITY/NT/EWS)
Other
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Student/Personal Details
Application No.
Roll No.
Application Date
Course Name
Semester/Year
Medium
Subject Selection
Surname
Student Name
Father/Guardian Name
Mother Name
Gender
Address
Date of Birth
Mobile Number
Village/City
Taluka
District
Pincode
Alternative Contact No.
Category
Locality
Aadhar Card No.
Annual Income In (
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Co-Curricular Activities
NCC : No,
NSS : No,
Sport : No,
Cultural : No
Is Physically Handicapped?
Blood Group
Scholarship Details
Eligible for Scholarship ?
No
Bank Name
Account Number
IFSC Code
Ration Card Number
Education Details
Last Exam Passed
Exam Passed Year/Month
School/College Name
Exam Center
School Joining Date
School Leaving Date
Board/University Name
Number of Trial
Total Marks
Obtained Marks
Exam No
Enclosures Details
Handicap Code
Sports Code
Enclosures
File Name
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Sem 1/2 Marksheet copy attach with Sem 3/4
Sem 3/4 Marksheet copy attach with Sem 5/6
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