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    Application From - 2017
    *Name of the Candidate:
    *Complete Postal Address:
    *PIN Code:
    *Mobile No:
    *Date of Birth:
    *Course Selected:
    *Year Of Admission:
    *Last class you passed:
    Declaration by Candidate
    I, declare that the information furnished above is correct. I accept that incorrect information or withholding of relevant information may disqualify me. I agree to abide by the rules and regulations of the Institute.