Name of the Student :
Student Mobile Number :
Date of Birth :
Course UG : Select UG CourseB.Sc(N)
Year of Joining :
Year of Compilation :
Course PG : Select Pg CourseM.Sc(N)
Course Diploma : Select Diploma CourseGNM
Father Name :
Father Mobile Number :
Father's Occupation :
Mother Name :
Mother Mobile Number (required)
Mother's Occupation :
Permanent Address :
Pincode :
Address for Correspondence :
Email Address:
Area of Interest :
Future Plan :
Other Information :
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