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Name of the Student:
Name of the parish:
Name of the School:
Father's Name:
Father's Job:
Mother's Name:
Mother's Job:
Address:
State:
---Select---
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District:
---Select---
Land Phone:
Mob:
Plus TWO Syllabus:
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State
Total Percentage of Mark
Interested Courses:
B-Tech-CSE
MCA
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BBA
MBA
B-COM
Other Course:
Which State Candidate Likes to Study:
KERALA
TAMILNADU
KARNATAKA
Name of brothers or Sisters who is studiying for digree final year: