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ADMISSION 2019 | ONLINE APPLICATION FORM

layers Personal Information

Center Code *
home
Program Name *
book
Name * (As per the Xth marksheet)
person
Applicant’s E-mail ID *
email
Date of Birth *
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Gender *
person
Blood Group *
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Nationality *
date_range
Religion *
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Caste *
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Category *
streetview
Mobile Number *
phone
Alternative Phone Number *
phone
Aadhar Card No
credit_card
Father’s Name *
person
Mobile Number *
phone
Occupation / Business Entity
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Mother’s Name *
person
Mobile Number *
phone
Occupation / Business Entity
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Name of the Local Guardian (With Relationship) if any,
Association of any family member with Jain ( Deemed-to-be University)?
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