KUUMAT Roll No

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Select Course

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Full Name

नाम

Age

Gender

Male Female Other

Nationality

Phone Number

Date Of Birth

Email

Mobile

Permanent Address

Province

District

Municipality/Rm

W.No/Village

Temporary Address

Province

District

Municipality/Rm

W.No/Village

Father`s Name

Mother`s Name

Name Of Guardian

Address

Phone

Academic Details (SEE/SLC and Above)

Name Of Institution	University/Board	Qualification	Year Of Graduation	Marks Obtained / Grade	Upload

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