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Centre Code
Centre Name
Centre Place
Registration No:
Student Name:
Father's Name :
Mother's Name
D.O.B
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Nationality:
Category: General OBC SC ST
Correspondance Address :
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Post
Police Station
Pin Code
Contact No
Whats No
Email ID
Course Details :
Course Applied For
Course Details
Duration
Qualification Details :
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Board University
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Percentage
Subject
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