Abhyudaya 2022 - CET Free Coaching Registration
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Email *
Student Name *
Type your full name in BLOCK letters.
Gender *
Date of Birth *
MM
/
DD
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YYYY
Contact number *
Postal Address *
Enter your complete address with PIN Code.
Native Place *
College Name *
Subjects (Combination) *
SSLC Percentage (Subject wise) *
PUC-I Percentage (Subject wise)
Ambition *
Mention what you want to pursue. Like: Engineering, Medical, B.Sc., BCA, NDA and so on.
Hobbies *
Father's Name *
Type your father's full name in BLOCK letters.
Father's contact number *
Father's occupation *
Mother's Name *
Type your mother's full name in BLOCK letters.
Mother's contact number *
Mother's occupation *
Family income per annum (in Rs.) *
Number of siblings *
Siblings' details *
Have a Smart Phone *
Referred by *
Where or from whom did you hear about this program? (Mention name, in case referred by a person).
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