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REGISTER ID ………………………………………PASSWORD…………………………..

APPLIED FOR TEST …………………………………………………………………………….


NAME……………………………………………………………………………………………….
FATHER NAME …………………...............................................................
MOTHER NAME…………………………………………………………………………………..
CATEGORY………………………………………………………………………………………
GENDER ……………………………………………………………………………………………..
DOB………………………………………………………………………………………………….
EMAIL ID………………………………………………………………………………………….
ADDRESS……………………………………………………………………………………………………
…………………………………………………………………………………………………………………
………………………………………………………………………………………………………………….
MOBILE NO…………………………………………………………………………………………..
QUALIFICATI Roll Board OBTAINED OUT OF Passing Subjects
ON number MARKS MARKS year

PHOTO ATTACHED

HERE SIGN

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