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CASUAL APPLICATION FORM
Want to appear in Examination and Subject


First Name
Last Name
Sex
Present Address
Permanent Address
City
Pincode
State
Country
Land Line No.
Mobile No.
Email ID
Date of Application (dd/mm/yyyy)
Date of Birth (dd/mm/yyyy)
Univ. Reg.& Roll No.
Is Handicapped?
Social Category
Religion
Aadhar No.:
Blood Group:
Bank Name:
Bank A/c No.:
IFS Code:
Identity Mark:
Father's Name:
Full Address:
Contact No.:
Email ID:
Mother's Name:
Local Guardian:
Is Active?