ONLINE APPLICATION FORM
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Application Processing Fee 300/-
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  UTR No*
  Date of remittance (dd/mm/yyyy)*
  Name of the Remitting Bank*
  Branch Address*
  Place*
Personal Details
  Application No.
  Name of the Candidate*
  Date of Birth*
  Gender*
  Marital Status*
Place of Birth
  City / Town / Village*
  District*
  State/Union Territory*
  Community*

  Caste*
  Religion*
  Nationality*
Family History
  Name Of Father*
  Name Of Mother*
  Name Of Guardian
  Relationship With Guardian      Age    
Occupation In-Service Retired
Father
Mother
Guardian
Annual Income of The Parents/Guardian**
Address for Communication
  Flat/Door/Name of Building*
  Road/St./Lane/P.O.*
  Area / Locality
  Town/City/District*
  Pin-Code*
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  Phone - Home    -   
  Mobile: Applicant* +91
  Parent/Guardian* +91
  Choice Of Stay*
  Email
All correspondence / updates will be sent to this EMail ID / Mobile No.
PARTICULARS OF SSLC EXAMINATION
  Registration No.
  Name of the Board * CBSE / ICSE / IB         STATE
  Marks Obtained * Total Out Of     Average %
  Name of the School*
  Location of the School*
  Year of Passing *
  Extra-Curricular activities & Hobbies/Interests
  Academic or Non Academic Achievements/Awards
ACADEMIC RECORD - SECONDARY / SENIOR SECONDARY / 10+2 STANDARD
Subject                 Marks Obtained                   Maximum Marks                   Percentage
  

                      
  Marks * Total     Out Of      Average  %
  Year of Passing*
  Name Of The Board*
  Medium of Instruction*
  Examination Regn. No.*
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