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
%marks obtained in Class XII if passed
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