Name of Applicant (in Block Letters)
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Sex
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Male
Female
Class
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MCA-1
MCA-2
MCA-3
MSC-EC-1
MSC-EC-2
MSC-CS-1
MSC-CS-2
M.com-1
M.com-2
BBA-1
BBA-2
BBA-3
BCA-1
BCA-2
BCA-3
BSC-CS-1
BSC-CS-2
BSC-CS-3
BSC-EC-1
BSC-EC-2
BSC-EC-3
Other
Roll No
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Date of Birth
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Grievance
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E-mail
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Mobile
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Remarks
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