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ONLINE REGISTRATION FORM 2022 |
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Your Name : | [your-name] |
Father's Name : | [fathers-name] |
12th / Diploma Reg. No : | [reg-no] |
D.O.B : | [dob] |
Community : | [community] |
Course Selected | [course] |
Marks obtained in 12th Standard |
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Mathematics : | [mark-maths] |
Physics : | [mark-physics] |
Chemistry : | [mark-chemistry] |
Marks obtained in Diploma |
Percentage of Marks obtained in Diploma : | [diploma-percent] |
Your Email : | [email] |
Mobile 1 : | [mobile1] |
Mobile 2 : | [mobile2] |
Address for Communication : | [address-comm] |