Your Name*
Gender* —Please choose an option—MaleFemale
For Married Female Students (Name before marriage)
Current Address
Mobile*
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Your Email
Solapur based Address (if any)
Year and Standard while leaving a school Year —Please choose an option—201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945 Standard —Please choose an option—10987654321UKGLKG
Date of Birth
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Blood Group —Please choose an option—A+A-B+B-O+O-AB+AB-
Other Message
I am not Robot