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Section 0 - Application Form Level Details
Programme Name
Programme Code
Institute Name
Primary Email
Institute Logo
Batch No.
Commencement Date
Application No.
Form Status
Basis stage eg. Draft
Complete
Approved etc
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Section 1 - Personal Information
Title
First Name*
Middle Name
Last Name*
Primary Email Address*
Alternate Email Address
Primary Contact No. Type*
Mobile
Landline
Primary Contact No.*
Nationality
Date of Birth
Gender
Male
Female
Others
Blood Group
Marital Status
Single
Married
Divorced
Widowed
Category (Caste)
GC
OBC
SC
ST
PwD
Category Document
Father's Name
Mother's Name
Spouse Name
Photo
PAN No.
PAN Copy
ID Type
Adhaar
Passport
DL
Others
ID Number
ID File
Passport No.
Passport Country
Passport Place of Issue
Passport Date of Issue
Passport Date of Expiry
Current Address Country
India
Current Address State
Delhi
Current Address City
New Delhi
Current Address Pin Code
Current Address Line 1
Current Address Line 2
Current Same as Perm. Address
Permanent Address Country
Permanent Address State
India
Permanent Address City
Delhi
Permanent Address Pin Code
Permanent Address Line 1
Permanent Address Line 2
Section 2 - Education/Qualification Details
Qualification
Class 10
Class 12
UG
PG
Other Qual1
Other Qual2
Board / University
School / Institute Name
Year of Completion
Marking Scheme
CGPA to %age Conv
%age Conv. Cert
Percentage / CGPA
Marksheet
Qualification
Class 10
Class 12
UG
PG
Other Qual1
Other Qual2
Board / University
School / Institute Name
Year of Completion
Subjects
Result Status
Awaited
Declared
Marking Scheme
CGPA to %age Conv
%age Conv. Cert
Percentage / CGPA
Marksheet
Qualification
Class 10
Class 12
UG
PG
Other Qual1
Other Qual2
State
University
College/Institute
Degree Name
Subjects
Year of Completion
Result Status
Awaited
Declared
Marking Scheme
CGPA to %age Conv
%age Conv. Cert
Percentage / CGPA
Marksheet
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Certification
Entrance Exam1
Entrance Exam2
Entrance Exam3
Entrance Exam
Year of Exam
Score in Exam
+
Section 3 - Work Experience
Total Work Experience
From
To
Months
Organization
Designation
Docs
Job Desc
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Section 4 - Others
Special Achievement
Extra Curricular Activities
Declaration
Statement of Purpose
Submission Date
Signature
Section 5 - Other Documents
Document name
Document
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Section 6 - References
Reference Name
Mobile No.
Primary Email Address*
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