Student Name(As per 10+2 Marksheet):* |
|
Medium:* |
|
Gender:* |
|
Maritial Status:* |
|
F/H Name:* |
|
Mother's Name:* |
|
Category:* |
|
Date of Birth(YYYY/MM/DD):* |
|
Nationality:* |
|
Minority: |
|
Religion:* |
|
Handicapped: |
|
Aadhaar Number:* |
|
Current Address of Student: |
Address:* |
|
State:* |
|
District:* |
|
City:* |
|
PinCode:* |
|
Permanent Address of Student: Same as current Address |
Address:* |
|
State:* |
|
District:* |
|
City:* |
|
PinCode:* |
|
E-Mail ID: |
|
Tel/Mobile No:* |
|