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Form No : 22507
Candidate Name  
As per 10th class certificate [ Capital Letters ]




(Image Size should be less than 1 MB )
Fathers Name :  
As per 10th class certificate [ Capital Letters ]
Street | Village  
District  
State | Country
Date of Birth :  
( DD / MM / YYYY)
Gender : Religion :
Category :
Contact No.   Email :
Semester :
Course Applied :
Previous Stream :

Admission Type
Previous Reg No:
Class Exam Roll No. Board RegNo. Session/Year
 of Passing
Annual / BiAnnual Maximum Marks Marks
Obtained
Board / University
10th          
12th          
Dated : 7/21/2017
.