Full Name

Father Name

Mother Name

Nationality

Gender
---- Select ----MaleFemale

Date of Birth

Place of Birth

Aadhar Card No.

Blood Group

Religion

Sub Caste

Caste Category
OPENSCSTVJNTNT(B)NT(C)NT(D)OBCSBC

Physically Challenged
---- Select ----YesNo

Permanent Address in Detail

Taluk

Dist

State

Pin Code

Guardian Details

Phone with STD Code

Parents Mobile No

Student Mobile No

Email

Occupation

Annual Income

Previous Examination Attended

Name of Exam

Name of Board/University

Month & Year of Passing

Exam Seat Number

Marks Obtained

Total Marks

Percentage (%)