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Scholarship Exam Registration Form
Venue :
GURUDWAR
SUJATHANAGAR
Exam Date :
Time :
9.00 - 12.00 P.M
2.00 - 5.00 P.M
10.00 - 12.00 P.M
3.00 - 5.00 P.M
Student Name
Father Name
Occupation
Mother Name
DOB
Gender
Male
Female
Phone Number
* Mobile already exist
Email-id
Studied Class
Select Class
8th
9th
10th
11th
12th
12th Passed
School/College Name
Medium
Willing Group
Select Group
MPC - IIT
MPC -IIT MAINS
BIPC - NEET
Address
District
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Vijayanagaram
Visakhapatnam
East Godavari
West Godavari
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Stream
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State
CBSC