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Personal Information
First Name
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Middle Name
Last Name
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Gender
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Date of Birth
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Birth Certificate No
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Nationality
Religion
Contact No.
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Email
Applied Class
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Parents Detail
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Professsion
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Mother Name
Professsion
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Guardian Name
Relation
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Contact Details
Permanent Address
Full Address
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Province
District
Local Level
Ward No.
Street Name
Current Address
Same as Permanent Address
Full Address
Province
District
Local Level
Ward No.
Street Name
Previous Institution Detail
Name of Previous Institution
Address of Previous Institution
Secured % or GPA
Qualification
Optional first and obtained Grade ?
Optional second and obtained Grade ?
Additional Details
Student's Talents & Achievements (if any)
Any disease he/she is suffering from?
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No
What is the Problem ?
What is the Present Condition?
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Improving
Completely Recovered
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