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Application No  
Date of birth  

  
Submission of Annexure
   Application No :   
   Candidate Name :   

PERSONAL DETAILS
 
ACADEMIC RECORD
SECONDARY / 10th STANDARD (Fill In If Applicable)
   Total     Marks Obtained:   Out Of :
   Medium of instruction     
   Year of Passing     
   No. of Attempt     
   Examining Board     
   Reason for Break in Study (if any.)     
HIGHER SECONDARY / +2 (Fill In If Applicable)
   Total     Marks Obtained:    Out Of :
   Medium of instruction     
   Year of Passing     
   No. of Attempt     
   Examining Board     
   Reason for Break in Study (if any.)     
UG DEGREE MARK (Fill In If Applicable)
   Total    Marks Obtained:    Out Of :
  Course      
   Medium of instruction     
   Name of the university     
   Year Of Joining     
   Year Passing     
PG DEGREE MARK (Fill In If Applicable)
   Total     Marks Obtained:    Out Of :
  Course     
   Medium of instruction     
   Name of the College/university     
   Year of Joining     
   Year of Passing