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Inter Student Registration Form
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* Indicates required question
FULL NAME
*
Your answer
Parent Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Inter
*
MPC
BiPC
Other:
Medium
*
English
Telugu
Appearing for Eamcet
*
Yes
No
Mobile No
*
Your answer
Whats App No
*
Your answer
Address
*
Your answer
City / Village Name
*
Your answer
Reference
*
Website
SMS
Other:
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