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Personal Details

       
  Student Id :  (as on Bachelor Marksheet)
  Name :
  Gender :  
  DOB :    
  Passing Year :
  Course :
  Branch :
  E-Mail Id :
  User ID :
  Password :
  Re-Type Password :
       
 
   Contact Address
Address1  :  Address2  : 
City  :  District  : 
State  :  Country  : 
Pincode  :  Phone No  : 
           
 
     
 
   
 
   

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