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Application Form For Industrial Chemistry (Major)
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Form submission is closed..
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PERSONAL PART |
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Name |
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Date of Birth |
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Nationality |
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Religion |
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Minority |
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Gender |
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Blood Group |
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Caste/Category |
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Sub Caste
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Physically Handicapped |
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% of Physically Handicapped
Please enter numbers only
Type of PH
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Contact No. |
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It should be candidate's own Mobile No. with WhatsApp facility for future correspondence
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Email ID |
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AADHAAR NO |
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Father's Name |
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Father's Qualification |
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Village (Rural) / House No. & Street with City or Town (Urban) |
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P.O. |
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Dist. |
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PIN |
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State |
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Police Station (P.S.) |
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Mother's Name |
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Mother's Qualification |
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Guardian's Name |
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Guardian's Occupation |
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Relation with Guardian |
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Annual Family Income |
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Only Numeric! |
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Guardian's Mobile No |
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Marital Status |
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ACADEMIC PART |
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H.S/Equivalent Registration No. |
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H.S/Equivalent Registration Session. |
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H.S/Equivalent Roll & No./Index No. |
* Without any special character like "-", "/" , "( or )" etc.
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Year of Passing |
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Name of the Council/Board |
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Name of the School |
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No. of 'Language Subject(s)' studied in H.S./Equivalent Course |
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Statement of marks obtained in the H.S./Equivalent Examination
* In case of Vocational Council, do not enter the marks of Environmental Studies |
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APPLICATION PART
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Applicant may choose Generic Subject as per his/her choice. But finally the said subject will be offered to him/her on availability or eligibility at the time of admission. |
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