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Applied For *:: in

Entrance Exam Given :: Rank Score
Rank Score
Rank Score

Institution Preferred :

Your Name *:

Address *:

Contact No *:: (Res) (Mob)

Email ID *:

Date of Birth :: - -

Name of Guardian *:

Guardian's Contact No :

Guardian's Occupation :

Academic Qualification :

Exam Passed	Board/Council	Year of Passing	% of Marks	Division/Class
10th or Equivalent
12th of Equivalent
Diploma
Graduation of Equivalent

Subjects taken in 10+2 & percentage of marks :

: * All information entered here are correct to the best of my knowledge. I do hereby promise to obey the rules and regulations of the Institution if I am selected for admission.