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Sl.

No

Name

Father's
Name

Community
Date of Birth
(SC/ST/OBC/Ot
Mother's Name (DD/MM/YYYY) hers)

Minority
Community
(Jain, Christian, Physically
Muslim/Parsi/ Handicapped
NA)
(Yes / No)

Sex (Male/
Female)

Street

Locality

City

Taluk

District

State

Pincode

Phone

Mobile

Registration
Date
(DD/MM/YYYY) Course Type

Name of the
College

Place Of
College

Branch of
Engineering

Year Of Passing
(DD/MM/YYYY) Percentage

CGPA

University Reg 12th/ Diploma University


Class Obtained No
Reg No
Name

email
(a@b.com)

Address

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