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    Full Name*

    Permanent Address

    Mobile No.*

    Email Id*

    Date of Birth*

    Father Name*:

    Father's Occupation:

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    Gender:

    Hostel Accommodation Required

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    Course:

    Qualification

    Name of Examination

    Board/University/Institute*

    Year of passing

    % Marks obtained*

    Main Subjects

    Name of Examination

    High School

    Board/University/Institute

    Year of passing

    % Marks obtained

    Main Subjects

    Name of Examination

    Intermediate(10+2)

    Board/University/Institute

    Year of passing

    % Marks obtained

    Main Subjects

    Name of Examination

    Graduation

    Board/University/Institute

    Year of passing

    % Marks obtained

    Main Subjects

    Examination Details

    CAT

    Roll No.

    Score

    Percentile

    MAT

    Roll No.

    Score

    Percentile

    UPCET / UPSEE

    Roll No.

    Score

    Percentile

    CMAT

    Roll No.

    Score

    Percentile

    OTHERS

    Roll No.

    Score

    Percentile

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    I hereby declare that the information given in the Application form is true to the best of my knowledge and belief. If any information is found to be wrong, i shall be liable for action. I hold myself responsible for the due and prompt payment of fees.