Student's Details ---------------------------------------------------------------------------------------------------------
               Name of Student (as entered on the qualifing Marksheet)
        
          
          
          
          
               Father's Details-----------------------------------------------------------------------------------------------------------
          
          
          
          
          
          Mother's Details ---------------------------------------------------------------------------------------------------------
          
          
          
          
          Spouse Details -----------------------------------------------------------------------------------------------------------
          
          
          
          
          
               Present Address Details -------------------------------------------------------------------------------------------------
          
          
          
          
          
          Permenant Address Details ----------------------------------------------------------------------------------------------
          
          
          
          
            Other Details -------------------------------------------------------------------------------------------------------------
          
          
          
          
          
          
          
          
          
          
          
            Details of last Examination's Passed ------------------------------------------------------------------------------------
          
          
          
          
          
          
          
          
          
          
          
               Other Details -------------------------------------------------------------------------------------------------------------