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Course Selection

Course Applied for (पाठ्यक्रम के लिए आवेदन) *
Course Medium (कोर्स का माध्यम)*

Basic Details (All Information should be as per 10th Marksheet)

First Name (पहला नाम) *
Middle Name (मध्य नाम)

Last Name (सरनेम)

Father's Name (पिता का नाम) *
Mother's Name (माता का नाम) *
Date of Birth (जन्मतिथि)*
Mobile No. (मोबाइल नंबर)*(To receive SMS for admission)
Email ID (ईमेल आईडी)

Address Line 1 (स्थाई पता)*
Country (देश)*
State (राज्य)*
District (जिला)*
Aadhar Enrollment No./Aadhar No. (आधार नामांकन संख्या)*

Personal Details (All Information should be as per 10th Marksheet)

Gender (लिंग)*
Religion (धर्म)*
Category (वर्ग)*
Nationality (राष्ट्रीयता)*
Applied For (आवेदन)*

ATTACHMENTS

Passport Photo *
Signture *

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