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APPLICATION FORMAT FOR FILLING RESIDUAL SEATS

Name of applicant:
Category (Gen/SC/ST/OBC/PH):
Father’s Name
(as per Secondary Certificate)		:
Mother’s Name
(as per Secondary Certificate)		:
Date of Birth
(as given in the Secondary School Certificate issued by the Board)		: D M Y
Age as on 1st July 2010:
obtained in 10+2 or equivalent examination (English + best of 4 subjects)
S.NoSubject (Max. Marks) (Marks Obtained) (% of Marks) (Year of Passing)
1.English
2.
3.
4.
5.
Hostel required:Yes : No :