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Application Form

Select Year of Intake*
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Personal Details

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Mobile*
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Surname/Last Name*
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Blood Group
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Alternate Number*
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Date of Birth*
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Category*
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Email Id*
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Family Details

Family Name Mobile Email Occupation Annual Income
Father
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Mother
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Sibling1
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Passport Details

Passport Status*
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Passport Number
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Address Details

D.No
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Landmark
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State*
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Village/Mandal/City
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Country*
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District
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Pincode
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University Selection

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Select University*
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Select University*
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Select University*
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Education Details

S.No Exam School/College Board Duration From Duration To % or CGPA Place of Study
1 10th / SSC
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2 12th / PUC / Intermediate
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3 Degree / UG
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4 OTHERS
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Statement of Purpose

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Signature of the Applicant
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List of Documents

Class 10 Mark List
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Class 12/PUC
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Copy of Passport (If Available)
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DOB Certificate
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