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* Name :
* Mother's Name :
* Father's/Gurdian's Name :
passing Year : Sex :
* Mobile no : What's app no. :
* Position/Designation : * E-mail :
* Stream : * Date Of Birth :
* Payment Mode : * MemberShip :
Blood Group :   :  
Present Address
* Address :
* City : * Pin :
* State : Country :
Permanent Address (If Present & Permanent Addressis same Then Click This  )
* Address :
* City : * Pin :
State : Country :