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Full Name*

Father's Name*

Mothers Name*

Gender*

Date of Birth*

Contact No.*

Caste*

Permanent Address

State*

District*

City*

Pin*

Address*

Same as Permanent Address

Present Address

State*

District*

City*

Pin*

Address*

Educational Qualifications

BOARD	SCHOOL NAME	PASSING YEAR	CLASS	OBTAINED MARKS	FULL MARKS	%

Aadhar Number*

Pan No.

Voter ID No.

Upload Documents

Upload Photo(Upload Only JPG image)*

Upload Signature(Upload Only JPG image)*

Upload Voter Id

Upload Adhaar*

Upload Pan

Bank Details

Ac No: 10090424815

IFSC Code: IDFB0060281

Bank Name: IDFC First Bank

Branch Name: Boring Road Branch, Patna

*
Pease Put Transaction Id After Payment

कृपया अपना भुगतान राशि डालने के बाद अपना ट्रांज़ैक्शन ID इनपुट करे

Transaction ID*