Personal Detail: (As per school leaving certificate) |
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Male
Female |
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Married
Unmarried |
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Local Address: |
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Native Place Address (Long journey consession will be issued on the bases of this address):
Same as above:
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Father's Information: |
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Office / Business Address:
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Mother's Information: |
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Office / Business Address:
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Guardian Information: |
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Education Detail: |
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Sibling Detail: |
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Repeater Tag: |
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Person Undertaking: |
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