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(Name as recorded in the Matriculation/Secondary Examination Certificate)
Examination Passed Year of Passing Board/University Div. % Subjects
High School
Higher Secondary (+2)
Graduation
Post Graduation
Any Other
Year Roll No. Result
Preliminary
Main
Personality

Declaration:

I hereby declare that the above statement is true to the best of my knowledge and belief, and that I understand that disciplinary action will taken against me if any information provided by me is found to be false at any stage.