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2.
Applicant's Personal Details /आवेदक का व्यक्तिगत विवरण |
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Applicant's Full Name / आवेदक का पूरा नाम * |
( Full name as per the highest / latest qualification certificate or legal certificate
) |
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Father's Name / पिता का नाम * |
( Full Name As Per Educational/Legal Certificate ) |
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Mother's Name / माता का नाम * |
( Full Name As Per Educational/Legal Certificate ) |
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Gender / लिंग* |
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Date of Birth / जन्म दिनांक * (dd-Mon-yyyy) |
( As per high school certificate in 'dd-Mon-yyyy' format. i.e. '01-Jan-1990' ) |
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Category / वर्ग* |
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Occupation / व्यवसाय * |
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3.
Contact Details / संपर्क विवरण |
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Mobile / मोबाइल * |
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Email / ईमेल पता * |
(e.g.abc@yahoo.com) |
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4.
Address Details / पता विवरण |
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Address Line1/पता पंक्ति 1 * |
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Address Line2/पता पंक्ति 2 * |
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Address Line3/पता पंक्ति 3 |
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City Name / शहर का नाम * |
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State / राज्य * |
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District / जिला * |
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Pin Code / पिन कोड * |
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5. Apply For Courses |
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Program* |
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Courses * |
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5. Educational / Qualification Details / शैक्षिक / योग्यता का विवरण |
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Highest Educational Qualification / उच्चतम शैक्षिक योग्यता* |
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Year of Passing / उत्तीर्ण वर्ष * |
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8. Declaration / घोषणा |
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