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Center applied
*
--Select Center applied--
JICT COMPUTER SUPAUL
Course Name
*
--Select Course Name--
Department of Management
Department of Engineering And Technology
Department of Law
Department of Architecture, Planning & Design
Department of Agriculture
Department of Education
Department of Physiotherapy
Department of Medical , Paramedical & Allied Health Science
Department of Basic Course
Department of Diploma
Sub Course Name
*
--Select Sub Course Name --
Aadhar No.
*
Full Name
*
Father's Name
*
Mother's Name
*
Gender
*
Male
Female
Date Of Birth
Marital Status
*
Single
Married
Mother Tounge
Two Visible Identification Mark 1
*
Mark 2
Permanent Address
*
Mobile
*
Email
Occupation of Parent / Guardian
Annual Income of Parent / Guardian
Reletion With Student
Handicapped If Yes, please specify
*
Yes
No
Candidate Bank Detail:-
Account Holder's Name
Account Number
IFSC Code:
Branch Name
Name If Examination
Subject
Board / University
Year of Passing
% of Marks
Upload marksheet
10th Std
12th Std
Degree
PG
Other, specify
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