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General Info

  Name (*)  
  Gender  
  Date of birth ( *) (DD/MM/YY)  
  Correspondence Address  
Permanent Address
  Telephone number  
  Mobile number(*)  
  Email Id(*)  
  Fathers name  
  Father’s Occupation  
  Educational Qualifications  
       
 
Exam
Year of passing

Field/Stream

Board/univ
Percentage(*) 
10th %
12th %
Graduation %
PG %
         
Others
 
       
  CAREER INTEREST  
       
  Colleges    
  
  First Option  
  Second Option  
  Third Option  
  Course(*)  
  City/State(*)  
  English Language Qualification  
   
 
   
  
  2. What is your score in English:  
  
  Secondary School %  
   
  Senior Secondary School %  
   
  Graduation %  
     
  How did you come to know about 3-way solutions? (*)  
  
  Website Newspaper Friends Brouchure  
 
Any Other (Please Spcify)
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