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Personal Details :

MaleFemale

Educationial Qualification Particulars :

Qualification
Insitute
Board / University
Mark Secured
Percentege / CGPA
Year Of Passing

S.S.L.C

Insitute

Board / University

Mark Secured

Percentege / CGPA

Year Of Passing

H.S.C

Insitute

Board / University

Mark Secured

Percentege / CGPA

Year Of Passing

Degree

Insitute

Board / University

Mark Secured

Percentege / CGPA

Year Of Passing

Others

Insitute

Board / University

Mark Secured

Percentege / CGPA

Year Of Passing

Address For Communication :



Photograph & signature :

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Declaration

I declare that the above statements are correct and complete to the best of my knowledge. I solemnly assure that i will obey the rules and regulations of the institution. i will not indulge in activities which are detrimental to the interest of the institution. I am aware that in matters of discipline the decision of the institution authorities is final.