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Application From |
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Application Receiving
Centre (ARC) Code: |
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Click to View ARC Code List |
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1.Personal Information |
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Name Of Candidate: (As appearing on the statement of marks of the SSC(10h)/Equiv. Examination) |
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First Name: |
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Father's/Husband's Name: |
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Last Name(Surname): |
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Mother's Name: |
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Gender : |
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Date Of Birth(yyyy-MM-dd) |
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Temporary Address: |
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Permanent Address: |
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Contact No:
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-(STD Code-Tel No) |
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Mobile No: |
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Email ID: |
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Constitutional reservation
(Caste recognized
in Maharashtra State) |
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I wish to claim reservation under: |
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I Want to Claim
specified reservation for : |
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Total Annual Family Income
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2.Academic Record |
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a.Details of SSC (10th) Equivalent Examination |
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Marks obtained in
Maths
at SSC/Equiv. Exam: |
Marks obtained
Out of
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Total marks obtained at
the SSC/Equiv. Exam : |
Marks obtained
Out of
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b.Details of HSC (12th) Equivalent Examination |
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Name of the Institute: |
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Address 1: |
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Address 2: |
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Address 3: |
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District Code: |
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Contact No:
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- (STD Code-Tel No) |
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3.Details required for DCT -11 |
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I Wish to Appear for following
Subject/s in CET: |
Physics Chemistry (*
Compulsory) |
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I wish to Appear for: |
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For Health Science Courses
Region: |
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District Code: |
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Service from Deeper: |
1. Real Mock Wake-Up Call |
(Compulsory) |
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2.
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3.
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5.
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6.
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I have Appeared for Previous DCT: |
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