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Name: ( Write your Surname First with full Name )
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Branch :
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COMPUTER
INFORMATION TECHNOLOGY
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10th %: ( Only % marks no Symbol please )
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12th %: ( Only % marks no Symbol please )
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Diploma: if Any ( Only % marks no Symbol please )
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Engg Aggt:
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( Only % marks no Symbol please ) till last sem i.e 6th Sem & if your are confident that after result you will satisfy the criteria then you can register
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Contact No
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Only 10 digit mob no
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Mail id
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Year gap
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Valid Reason: Write only in Short & Brief
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