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Aggregate

Full Name (as appears in official Category


S.N Name of Specialisation/ Rank in the %/ CGPA
documents such as 10th X% XII % Gender (GENERAL/SC/ST/
o Institute Discipline batch (upto VI
Marksheet/Aadhar/Pan etc.) OBC-NCL)
semester)
If Person with Disability (PWD), Whether age
(OH (Orthopedically Handicapped)/ Percentage Date of Birth Contact Primary
of Disability (dd/mm/yyyy) June,on
(as 1 Hometown Home State Mother Tongue Number
HH (Hearing Handicapped)/ email ID
2018)
VH(Visually Handicapped))
Full Name of Contact
Contact
Alternate Full Address for Full Permanent Relationship Details of
Person in with candidate Person in case
email id Communication Address case of of emergency
emergency

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