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Your Name (required)
Age and Date of Birth (required)
Religion and Caste (required)
Being SC/ST/OEC (required) ---SCSTOECNA
Father's Name (required)
Address with pin code (required)
Telephone No/Whatsapp (required)
Your Email (required)
Name of the Graduation
Educational Qualifications:
SSLC:
Name of Institution
Name of University/Board
Mark/percentage of Qualifying Exam
Plus Two:
Degree:
KMAT
Score
Month and Year
Application Date
Your Signature
*I here by declared that all the information submitted by me in the application form is correct, true and valid
