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Email *
Mother Tongue *
Father's Occupation *
Father's Email
Mother's Annual Income
Date of Birth *
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Mobile Number *
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Languages Proficient In *
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Mother's Name *
Mother's Phone Number *
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---Select Category---
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ST
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Father's Name *
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Mother's Occupation *
Mother's Email
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Street *
Pin *
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---Select Rural/Urban---
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Urban
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Correspondence Address
Same as Permanent Address
House No. *
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Street *
Pin *
Rural/Urban *
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Urban
Town/Village *
District *
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2nd Major
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1st Major
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