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Date of Birth
Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Mon Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Year 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986
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Std X
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Std XII
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Select Computer Science & Engg. Computer Technology Chemistry Electronics & Communications Engg. Electrical Engg Electrical & Electronics Engg. Industrial Electronics Information Science & Engg Computer Science Information Technology Mathematics Physics Statistics Not Applicable Other Engineering Other Science Others
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Select Computer Science Computer Science & Engg. Computer Technology Chemistry Chemistry Electronics & Communications Engg. Electrical Engg Electrical & Electronics Engg. Industrial Electronics Information Science & Engg Information Technology Mathematics Physics Statistics Not Applicable Other Engineering Other Science Others
Year 2006 2007
DECLARATION
I hereby declare that the information provided above are true to the best of my knowledge.