, , : () ,

( )

:
: __________________ : ___________________ _____________________
() : __________________________________________________________
()

()

( / )

() / : ____________________________________________________
()

()

( / )

() :
() : _______________________
()

SC
ST
SEBC
OPEN

GB
CB
ISCE
OTHER

() :

: _______________________

GENDER
MALE

FEMALE

TFW : Y / N
Y
N

SPI
()

( )

( )

() : _______________________________________________
/ ( / ) : ________________________________
_______________________________________________________________________
: _____________________________
: ( ) : ____________________ : ______________________________
/ ( ) : ________________________________

______________ _________________

: ___________________________
: ____________________________