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Name (In Capital

Letter) :.....................................................................................................................................................
............
Fathers Name :...................................................................... Mothers
Name :..............................................................................
Date Of Birth :........................................................
Occupation :.......................................................................

Fathers

Permanent
Address :...................................................................................................................................................
.....................
.....................................................................................................................................
Pin :-.........................................................
Current
City :.........................................................................................................................................................
............................
Phone No (with std code) :.......................................................................................... Mob No :
+91-.............................................

Academic Qualification :
SL
N
O:

UNIVERSI
TY

BOARD

YEAR OF
PASSING

TOTAL
MARKS

MARKS
OBTAINED

PERCENTAGE

DECLARATION
I ..................................................son/daughter
of ..................................................... Hereby declare that the entries made my
me in this form are correct. If any data/ information provided by me a found
incorrect then the company has every rights to take required actions against
me.

Date :......../......./............
Signature Of
Candidates :...................................................

Signature of Company Personnel

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