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On-line registration

*Applicant Full Name
*Name (Father’s/ Mother’s/ Husband’s) as per Educational Certificate
*Gender:   Male      Female
*DOB
*Correspondence Address
*Permanent Address
*State
*City/District
*Category
*Pin Code
*Mobile
*Email
*Course
*Session
*Mode of study
*Qualification
*Choose of language for Study
*Marital Status:   Married      Unmarried
*Current Status :   Employed      Unemployed
*Religion
*Nationality
*Payment mode
*Upload your Image
*Upload your Signature
*Upload mark sheet of Metric
*Upload mark sheet of Intermediate
* Validation code:

  I agree to the terms and conditions
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