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Candidate's Name
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Note : Full name in capital letter(s).
Father's Name
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Mother's Name
*
Student Category
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--Select Student Category--
PWD
GEN
ORTHO 40%
OBC/MOBC
SC
ST(PLAINS)
ST(HILLS)
VISUAL 40%
Gender
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-- Select Gender --
Male
Female
Domicile State
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-- Select Domicile State --
Andaman and Nicobar Islands
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra and Nagar Haveli
Daman and Diu
Delhi
Goa
Gujrat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Lakshadweep
Madhya Pradesh
Maharashtra
Manipal
Manipur
Meghalaya
Mizoram
Nagaland
Orissa
Other
Puducherry
Puducherry (Pondicherry)
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
Category
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-- Select Category --
TRADITIONAL
IDOL
Religion
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-- Select Religion --
Buddhism
Christian
Hinduism
Islam
Jainism
Other
Sikhism
Date of Birth
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Registration No.
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Registration Year
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-- Select Registration Year --
2023-2024
2022-2023
2021-2022
2020-2021
2019-2020
2018-2019
2017-2018
2016-2017
2015-2016
2014-2015
2013-2014
2012-2013
2011-2012
2010-2011
2009-2010
2008-2009
2007-2008
2006-2007
2005-2006
2004-2005
2003-2004
2002-2003
2001-2002
2000-2001
1999-2000
1998-1999
1997-1998
1996-1997
1995-1996
1994-1995
1993-1994
1992-1993
1991-1992
1990-1991
1989-1990
1988-1989
1987-1988
1986-1987
1985-1986
1984-1985
1983-1984
1982-1983
1981-1982
1980-1981
1979-1980
1978-1979
1977-1978
1976-1977
1975-1976
1974-1975
1973-1974
1972-1973
1971-1972
1970-1971
1969-1970
1968-1969
1967-1968
1966-1967
1965-1966
1964-1965
1963-1964
1962-1963
1961-1962
1960-1961
1959-1960
1958-1959
1957-1958
1956-1957
1955-1956
1954-1955
1953-1954
1952-1953
1951-1952
1950-1951
1949-1950
1948-1949
1947-1948
Nationality
Indian
Other
Candidate's Contact Details
Mobile No
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Email Id
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Id Proof Type
-- Select Id Proof Type --
PASSPORT
DRIVING LICENSE
ELECTION COMMISSION ID CARD
PAN CARD
AADHAAR(UID)
Id Proof No.
Upload Your Photo and Signature (Only .jpg, .png, .bmp file support)
Note: Photo Dimensions should be 413x531 pixels and Signature Dimensions should be 512x128 pixels.
Upload Passport Size Photo
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(File Size limit is 100 KB.)
Upload Your Signature
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(File Size limit is 100 KB.)
Upload Your ID Proof
(File Size limit is 100 KB.)