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bhubaneswar, 9556896419, support@eatechpvtltd.com
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General Info
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Course Info
Session
2024-2026
Program
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BSC
Semester
Student Info
Name of Student
Date of Birth
Gender
MALE
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OTHER
Blood Group
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B+
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AB+
AB-
O+
O-
Nationality
ID. 1
ID. 2
ID. 3
ID. 4
Mobile 1
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Jharkhand
Bihar
Andhar Pradesh
West Bangal
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Temporary Address
Temporary Address Same As Permanent Address
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State
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Odisha
Jharkhand
Bihar
Andhar Pradesh
West Bangal
Postal Code
Father's Detail
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Eligibility
Occupation
Office
Office Number
Residence Number
Mobile 1
Mobile 2
E-mail
Guardian's Detail
Father is Guardian
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Self
Other's
Name of Guardian
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Residence Number
Mobile 1
Mobile 2
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Relation
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Academic Info
Examination
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Marks Maximum
Percentage
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