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
Phone with STD Code
Parents Mobile No
Student Mobile No
Email
Occupation
Annual Income
Name of Exam
Name of Board/University
Month & Year of Passing
Exam Seat Number
Marks Obtained
Total Marks
Percentage (%)
