Mahatma Gandhi Paramedical College
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Name of Course:
Name of College/Faculty applied
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Preference 2
Preference 3
Preference 4
Preference 5
Name
Gender
--SELECT--
Male
Female
Father's name
Father's Occupation
Mother's name
Mother's Occupation
Date of Birth
Category
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General
SC
ST
OBC
Other
Permanent address
PIN
Corresponding address
PIN
Contact No.
Mobile No.
Student's Phone
Email
Pre Qualifying Test
--SELECT--
RPET
PC-PMT
RPPT
RMAT
AIEEE
MAT
CAT
CPMT
GATE
GRE
GMAT
Roll No.
Rank
Score
Medium of Instruction
--SELECT--
English
Hindi
Name of Institution last attended
Course
10
th
Board/University
Year of Passing
Subject
Percentage
Course
10+2
Board/University
Year of Passing
Subject
Percentage
Course
Graduation
Board/University
Year of Passing
Subject
Percentage
Course
Post Graduation
Board/University
Year of Passing
Subject
Percentage
Course
Other
Board/University
Year of Passing
Subject
Percentage
Awards/Achivements (if any)
Work Experience (if any)
Current Employer & address (if any)
Hostel Facility Required
--SELECT--
Yes
No
Bus Facility Required
--SELECT--
Yes
No
Pick up point, if bus facility required
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