Name of your college
Candidate Full Name
Candidate University Exam Reg. Number
Email ID
Mobile Number
Date of Birth (dd.mm.yyyy)
Gender
YOUR HOME TOWN
Year of Passing - X Std. (yyyy)
Year of Passing - XI Std. (yyyy)
Name of UG Program
Year of passing out (UG)
Course / Specialisation
UG Score
Percentage of mark, obtained for Class 10
Percentage of mark, obtained for Class 12
Total Number of Backlogs
Total Full Time Experience, if applicable (In months)
Current City
Current State
Current Address
Current City Pincode
Permanent City
Permanent State
Permanent Address
Permanent City Pin Code
PAN Number
Blood Group
