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Name :
Father Name :
Father’s Occupation :		Date of Birth :
Pin Code :		Distt. :
Phone No. :		Category :	Select Category GEN OBC SC ST Minority
Total Marks in 10th :		Percentage of 10th :
Total Marks in 12th :		Percentage of 12th :
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B.C.A       B.B.A       B.Ed       B.A*       B.Com       B.Sc       L.L.B       B.T.C
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*BA in (History, English, Home Science, Sociology, Economics, Hindi & Political Science)