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Enroll. No.

Name

Father Name

Mother Name

Birth Date

Sex

Caste

Cat.

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Address 1

Address 1

Mobile

Pin Code

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Enroll. No.

Name

Father Name

Mother Name

Birth Date

Sex

Caste

Cat.

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Address 1

Sub. 1
Core / Elct.

Sub. 2
Elective

Sub. 3
Elective

Sub. 4
Elective

Mobile

Pin Code