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Name




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Gender





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Date of Birth




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Father's/Guardian's/Mother's Occupation





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Annual Income





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Nationality




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State




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District




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Religion




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Community

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Address for Communication (line1)




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(line 2)




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Pincode




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Mention % of Disability




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Children of Ex-Service men?




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Tamil Origin from Andaman & Nicobar Island




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HSC Group




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Language




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Maximum Marks




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MMM/YYYY of Passing




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English




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Maximum Marks




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MMM/YYYY of Passing




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Subject 1




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Subject 2




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Subject 3




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Subject 4




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Core Subject (Course Apply)




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Part I Language




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Medium of Instruction




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