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Name of Candidate:
Gender:
Parent/Guardian Name:
Correspondence Address:



Permanent Address:



Date of Birth:
Age:
School
Educational Qualification
Whether Belongs to General/ OBC/ SC / ST Category?
Caste Certificate File Name Not Applicable
Wether Belongs to Physically Disabled ?
Certificate Of Disability File Name Not Applicable
Mobile Number
Email
Activity1
Activity2
Is Taking Bus? No
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