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Father's/Guardian's Name:

Mother's Full Name:

Date Of Birth:

Married:

If married,full name of wife/husband:

Sex:

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Blood Group:

Student's Allergy if any

UDID/Student Id:

Food Student Likes

Aadhar Card No:

Voter Card No:

Photo

If any medical Help Require:

Bank Account Details

Account Holder Name:

Account Number

Bank Name:

Branch Name:

IFSC Code:

Permanent Address:

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Address Line 1

City

State / Province / Region

Postal Code

Country

Present Address:

Address

Address Line 1

City

State / Province / Region

Postal Code

Country

Mobile :

Your e-mail id :

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Student Registration

Student Registration

Personal Information

Bank Account Details

Permanent Address:

Present Address:

Qualification History

Monthly Income:

Declaration by the applicant

Enclosed:

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