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Individuals
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Past Events
Blog
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Contact
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Registration Form
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Name
*
First
Last
Gender
Male
Female
Other
Email Address
*
Contact Number
*
Address
*
Education
*
10th /12th Pass or Fail
Diploma Holder (10 + 3)
Arts (BA, MA)
Business Administration (BBA, MBA)
Science (BSc, MSc)
Social Studies (BSW, MSW, Home Science)
Commerce (BCom, MCom)
Engineering (BE, BTech and MCA)
Medicine
Law
Pharmacy
Other
Education (in detail)
Institution's Name
Year of Completion
*
2024
2023
2022
2021
2020
Before 2020
Locational Preference
Are you from Economically Weaker Section (EWS)?
*
Yes
No
Is your family income less than 5 lacs per annum? If yes, you come under ews scheme of things.
Do you have a family income certificate to prove your income is less than 5 lacs per annum?
*
Yes
No
You have to get the income certificate from a Thasildhar in your region.
Select your disability
*
No Disability
Blindness
Low Vision
Leprosy Cured
Hearing Impairment
Locomotor Disability
Dwarfism
Intellectual Disability
Autism Spectrum Disorder
Mental Illness
Cerebral Palsy
Muscular Dystrophy
Chronic Neurological Conditions
Specific Learning Disabilities
Multiple Sclerosis
Speech and language Disability
Thalassemia
Hemophilia
Sickle Cell Disease
Multiple Disabilities
Acid Attack Victims
Parkinson's Disease
Disability Percentage
Selected Value:
0
Describe your disability in detail
Do you have a disability certificate?
Yes
No
Submit
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