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Name:
*
Father Name:
*
Mother Name:
*
Date Of Birth:
*
Aadhar Number:
*
Category:
*
-- Select One --
SC
ST
OBC
General
Gender:
*
-- Select One --
Male
Female
Phone:
*
Second Phone:
E-mail:
*
Maritial Status:
*
-- Select One --
Married
Unmarried
Year of Passing SSC (10th):
*
-- Select Year --
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
Percentage in Class SSC (10th):
*
Year of Passing HSC (12th):
-- Select Year --
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
Percentage in Class HSC (12th):
Year of Passing ITI:
-- Select Year --
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
Percentage in ITI:
Permanent Address:
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State:
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Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chhattisgarh
Dadra and Nagar Haveli
Daman and Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Orissa
Puducherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
District:
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