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Name of Student *
Father's Name
Mother's Name
Date of Birth
Father's Occupation
Father's Income
Address
Educational Qualification
S.N.
Exam Passed
Year
School/ Collage
Board/ University
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1
2
3
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Yes
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Are you Physically Handicap
Yes
No
Are you an Ex-serviceman/widow son or daughter
Yes
No
Dependent of freedom fighter/widow son or daughter
Yes
No
Minirioty
Yes
No