Registration Form
Student Name
Father's Name
Mother's Name
Date of Birth
Gender
Male
Female
Category
Gen
OBC
SC/ST
Handicapped
Yes
No
Ex-Serviceman
Yes
NO
EWS
Yes
No
Email ID
Mobile No.
State
Select any One
Uttar Pradesh
Madhya Pradesh
City
Select any One
Prayagraj
Kanpur
Bhopal
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