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ANDHRA PRADESH
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ASSAM
BIHAR
CHATTISGARH
GOA
GUJARAT
HARYANA
HIMACHAL PRADESH
JHARKHAND
KARNATAKA
KERALA
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MAHARASHTRA
MANIPUR
MEGHALAYA
MIZORAM
NAGALAND
ORISSA
PUNJAB
RAJASTHAN
SIKKIM
TAMIL NADU
TELANGANA
TRIPURA
UTTAR PRADESH
UTTARAKHAND
WEST BENGAL
ANDAMAN & NICOBAR
CHANDIGARH
DADRA & NAGAR & DAMAN & DIU
DELHI
JAMMU & KASHMIR
LADAKH
LAKSHDWEEP
PUDUCHERRY
Full Name
Father Name
Mother Name
Date of Birth
Gender
Male
Female
Transgender
Ex Serviceman
Yes
No
Medium of Study
Hindi
English
Gujarati
Gujarati
Orphan
Not Applicable
Orphan
Institute of Orphan
Guardian's/Institution's Name
Your Previous Qualification
No Schooling
1
2
3
4
5
6
7
8
9
10
11
12
More than 12
Your Previous Qualification Status
Failed/Compartment
Passed
House/Door/Flat No
Street/Locality/Area Name
Village/Ward No/Landmark
State/UT
ANDHRA PRADESH
ARUNACHAL PRADESH
ASSAM
BIHAR
CHATTISGARH
GOA
GUJARAT
HARYANA
HIMACHAL PRADESH
JHARKHAND
KARNATAKA
KERALA
MADHYA PRADESH
MAHARASHTRA
MANIPUR
MEGHALAYA
MIZORAM
NAGALAND
ORISSA
PUNJAB
RAJASTHAN
SIKKIM
TAMIL NADU
TELANGANA
TRIPURA
UTTAR PRADESH
UTTARAKHAND
WEST BENGAL
ANDAMAN & NICOBAR
CHANDIGARH
DADRA & NAGAR & DAMAN & DIU
DELHI
JAMMU & KASHMIR
LADAKH
LAKSHDWEEP
PUDUCHERRY
District
PIN Code
Vocational Subjects
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Identity Type
Aadhar Card
Passport
Ration Card
Bank Account
Birth Certificate
Identity Number
Course Applying For
Secondary
Senior_Secondary
Mobile
Email
Social Category/Caste
General
SC
ST
OBC
Tye of Disability (if any)
Not Applicable
Visual Impairment (Blindness)
Hearing impairment (deaf and hard of hearing)
Leprosy Cured
Mentally Retardation
Mental Illness
Multiple disabilities
Cerebral Palsy
Learning disabilities
Autism
Locomtor Disabilities
Dwarfism
Intellectual Disability
Muscular Dystrophy
Chronic Neurological conditions
Multiple Sclerosis
Thalassemia
Hemophilia
Sickle Cell disease
Acid Attack victim
Parkinson's disease
Low vision
Speech and Language disability
Part Admission or Dual Enrollment
Yes
No
Student Photo
Student Sign
Student ID Proof
Student Birth Certificate
Student Failed Marksheet
Student Previous Qualification
Student Address Proof
Student Category Certificate
Student 10th Certificate
Student Disability Certificate
Group A Subjects
Group B Subjects
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