1. Name*
2. Gender*
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3. DoB*
4. Address(with PIN Code)*
5. Mobile Number(10 digit)*
6. Email*
7. Religion*
8. Category*
9. Qualification*
10. University*
Study centre main preference
11(a). Centre of Study Opted*
11(b). Batch Opted*
Study centre alternative preference : 1
12(a). Centre of Study(Alt. pref. 1)*
12(b). Batch(Alt. pref. 1)*
Study centre alternative preference : 2
13(a). Centre of Study(Alt. pref. 2)*
13(b). Batch(Alt. pref. 2)*
14. Annual Income*
15. Exam Centre *
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