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CIPETIAN'S
Location of the Centre: *
Name *
Contact Number *
Email ID *
Aadhaar Card Number *
Specialization *
GPA Status
Ensure to fill appropriate GPA for 10th, 12th etc ...

If any Column is not applicable for you, please mention "Nill"

For Present Course, Calculate percentage till Last Semester and mention it.
10th Mark (Percentage or Grade) *
12th Mark (Percentage or Grade) *
Diploma (%) *
Post Graduate Diploma (%) *
Under Graduate (%) *
Post Graduate (%) *
Current Arrears *
Experience Details ( If "Exp" then specify the years and Field)
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Area of Interest
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Job Location Preference
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Date of Birth *
Kindly fill in this format Date/Month/Year
MM
/
DD
/
YYYY
Age *
Gender *
Father's Name
Mother's Name
Parents Contact Number
Nationality
Language Known
Communication Address
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