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Circular:
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Name
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First
Last
Date of Birth
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Gender
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Male
Female
Others
Nationality
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Community
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SC/ST
BC
MBC
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Religion
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Muslim
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Cast
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Email-ID
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Aadhar No
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Blood Group
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O+
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AB+
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Quota
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Government
Management
Select the course that you want
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B.E Computer Science and Engineering
B.TECH Information Technology
B.E Mechanical Engineering
B.E Civil Engineering
B.E Electrical and Electronics Engineering
B.E Electronics and Communications Engineering
ME Computer Science and Engineering
ME Manufacturing Technology
ME Power Electionics and drives
ME Structural Engineering
HSC +2 Details
HSC Reg No
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+2 MARKS OBTAINED
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Board
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Medium
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Name of the School
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Qualified City
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Group Name
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Family Details
Father Name
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Qualification
*
Occupation
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Designation
Annual Income
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Fathers Mobile No
*
Email
Mother Name
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Qualification
Occupation
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Mother's Annual Income
Mother's Mobile No
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Email
ADDRESS DETAILS
Door No/House Name
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Taluk
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India
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State
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City
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Pin Code
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Is Single Parent?
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No
Are you a Non-Resident Indian(NRI)?
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Yes
No
Is Hostel Accommodation Required?
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Yes
No
Is Transport Required?
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Yes
No
Is Physically Challenged?
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No
Declaration
I do hereby declare that above particulars of information and facts stated are true, correct and complete to the best of my knowledge and belief
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