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Name of the Candidate : *
Name of the Guardian / Father : *
Mother's Name :
Address : *
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PIN Code :
Caste : *
Contact Details
Email ID : *
Mobile : *
Mobile (Guardian) :
Date of Birth : *
Age (As on 01.07.2019) : *
Aadhar/Uid No :
Details of Academic Qualification

Madhyamik or Equivalant Examination
Madhyamik Board :*
Name of the School :*
District :*
Year of Passing :*
Registration no :*
Roll no :*
Marks Obt. In Math :*
Marks Obt. In Physical Sc. :*
Total Marks Obt. :*
Total % :*
Total Marks (Math+Science) :*
H.S or Equiv. / VOCLET OR ITI
Name of the Council / Board :*
Stream / Trade :*
Year of Passing :*
Registration no :*
Roll no :*
Total % of Marks :*
Courses Interested As per Preference ( Put 1,2,3 etc) :
A) Civil Engineering :*
B) Electrical Engineering : *
C) Mechanical Engineering : *
D) Computer Science & Technology :*
E) Electronics & Telecommunication Engineering :*
 
JEXPO Enrolment / Form No:
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