test 1. Name of the Applicant * 2. a. Permanent Address * Pincode: * Tel: * Mobile: * 2. b. Address for Communication * Pincode: * Tel: * Mobile: * 3. Date of Birth: * Date: * Month: * Year: * 4.Age: * 5. Sex: * MaleFemale 6. Father / Guardian Name: * 7. Nationality: * Indian N.R.I: (specify) 8. Name of the Community: * SCSTMBCBCOC 9. Name of the Institution/ College and university where last studied: * 10. Provide details of marks obtained in the qualifying examination: *