Candidate's Name (required)

Father's Name (required)

Mother's Name (required)

Sex (required)
[radio* sex use_label_element "Male" "Female"]

Date of Birth(required)

Choose Category(required)
GenSCSTOBC/EBC

Place of Residence(required)
VillageTown

School Board of Class X(required)
CBSEICSEState BoardOthers

Type of Institution of Class XII(required)
GovernmentPrivateOthers

Type of Institution of Class XII(required)

%marks obtained in Class XII if passed