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Name of the Candidate:

Course Applied For:

University Enrolment Number:

Name of the Institution in which you are reading:

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SOL Admission No./NCWEB Admn.No. / College Roll no.:

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Mother’s Name:

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Annual Family Income

Whether Applied for Fee Concession

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Have you done any computer courses? (If yes, specify course and duration)

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Details of Class XII Exams:, Name of the Board:

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