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Full Name
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Email Id
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Date of Birth
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Gender
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Aadhar No
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Self Contact Number
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Mobile/Phone (Residence)
Parent/Guardian Name
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Present Address
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Permanent Address
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Degree/Diploma
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Diploma 2
nd
Year
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nd
Year
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nd
Year
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rd
Year
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rd
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College Id No
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Percentage/GPA
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Name of the College
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College Address
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Student's Photo :
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Student's signature :
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Student's Aadhar :
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College's Request Letter :
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