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Phone

Salutation First Name Last Name Gender Date of Birth Email id Number -
College Current current
State College City District Course semester
Post
Graduation/Gra Year Of Passing Belong to Any
College Name duation (can be future Category i.e SC.ST ,
Degree/Diplom date as well) General
a
College
Admission Course Course College SPOC College SPOC College SPOC
No/Enrollment Preference 1 Preference 2 Name E-Mail phone number
ID

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