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Candidate Name *

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Mobile*

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Email*

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Course*

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Date of Birth*

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Aadhar No.*

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Community*

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Gender:*

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Father's Name*

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Father Occupation

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Father Annual Income

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Father Mobile No

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Mother's Name*

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Mother Occupation

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Mother Annual Income

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Mother Mobile No

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Permanent Address*

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Same as Permanent Address

Communication Address*

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Qualification Details

Examination		Year	Obtained Marks	Maximum Marks	Roll No	School/College Name	Board/University	Subject
High school*
Intermediate*
Graduation
Post Graduation

NCC

Yes

NSS

Yes

Dependent Freedom Fighter

Yes

Remark

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Chaudhary Charan Singh Post Graduate College Heonra Saifai Etawah
Affiliated to Chatrapati Shahu Ji Maharaj University Kanpur
"A" Grade Accreditted by NAAC

Admission Form

Gender:*

Qualification Details

NCC

NSS

Dependent Freedom Fighter

Chaudhary Charan Singh Post Graduate College Heonra Saifai Etawah Affiliated to Chatrapati Shahu Ji Maharaj University Kanpur "A" Grade Accreditted by NAAC

Admission Form

Gender:*

Qualification Details

NCC

NSS

Dependent Freedom Fighter

Chaudhary Charan Singh Post Graduate College Heonra Saifai Etawah
Affiliated to Chatrapati Shahu Ji Maharaj University Kanpur
"A" Grade Accreditted by NAAC