Name * Father’s Name * Mother’s Name * Email Gender * Select GenderMaleFemale Mobile Number * Date of Birth * Religion * —Please choose an option—HinduMuslimChristianJainSikhParsiBuddhistOther Category* —Please choose an option—GeneralSCSTOBC Sub Category* —Please choose an option—NonePHAFFFNRIFN State of Domicile * Aadhar Number * Education Loan Required? * —Please choose an option—YesNo Parents’ Mobile Number * Present Address * Permanent Address * 12th Passing Year * 12th Passing Percentage * 10th Passing Year * 10th Passing Percentage * Hostel Required? * —Please choose an option—YesNo
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