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Candidate's Name
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Father's Name
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Mother's Name
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Student Category
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PWD
GEN
ORTHO 40%
OBC/MOBC
SC
ST(PLAINS)
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VISUAL 40%
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Gender
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Domicile State
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Other
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Category
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TRADITIONAL
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Religion
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Date of Birth
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Registration Year
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2023-2024
2022-2023
2021-2022
2020-2021
2019-2020
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2017-2018
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2015-2016
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2010-2011
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2004-2005
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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
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1977-1978
1976-1977
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1972-1973
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1966-1967
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1964-1965
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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
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Nationality
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Other
Candidate's Contact Details
Mobile no
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Email Id
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Id Proof Type
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PASSPORT
DRIVING LICENSE
ELECTION COMMISSION ID CARD
PAN CARD
AADHAAR(UID)
Id Proof No.
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Correspondence Address Details
Address
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State
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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
Puducherry
Puducherry (Pondicherry)
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
Other
State is required!
District
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Pin Code
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Invalid Pin Code.
Phone No.
Alternate Mobile No.
Permanent Address Details
Same As Above
Address
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State
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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
Puducherry
Puducherry (Pondicherry)
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
Other
State is required!
District
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District is required!
Pin Code
Pin Code is required!
Invalid Pin Code.
Phone No.
Alternate Mobile No.
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