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NAME OF THE CANDIDATE (BLOCK LETTER)
Candidate's Mobile Number
Candidate's Email ID
Date of Birth
Category
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General
ST
SC
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Others
Gender
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Male
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Others
Father's Name
Parent/Guardian Phone Number
Father's Occupation
Mother's Name
Name of School Studying
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NEET
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Module
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1. Two year School Integrated Program for NEET - 2027
2. Two year School Integrated Program for JEE - 2027 (Mains & Advanced)
3. Repeaters Course for NEET - 2026
4. Repeaters Course for JEE - 2026 (Mains & Advanced)
State
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Exam Centre
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USTM
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