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Candidate's Details

Name

Date of Birth

Gender

Address for Correspondence

Portal Address for Correspondence

Aadhaar No.

Category

Blood Group

District

Pin Code

Name of the Institute Last Attended:

Class Last Attended

Class Sought for Admission

Parent's Details

Father Name

Father Occupation

Mother Name

Mother Occupation

Mobile No.

WhatsApp No.

Name of the real brother/sister studying in CELTI at the time of admission.

Name of the Student

Class

Student Roll No.

Year

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All the statements furnished above are true to the best of my knowledge and belief. I have carefully read the rules and regulations in the prospectus and I hereby promise to abide by them.

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