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Name

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Middle

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Apartment/Bldg

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Area

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Pin State    
Phone
STD code Tel no    
Email  
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Details of exams appeared / appearing for Name of exam Name of Board Name of school/college % secured in Maths/Sci Year of appearing
X
XII
Qualified for any of the following exams NTSE Maths Olympiad Physics Olympiad Chemistry Olympiad
Merit ranker in X or XII exams If yes, Merit rank  
Appearing for IIT-JEE in the year      
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Are you appearing for BITSAT/AIEEEIIT-JEE? If yes, year of appearing