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Username

User Password

Confirm User Password

First Name

Family Name

Popular Name

Nick Name

E-mail Address

Admission Year

Batch/passing Year*

Blood Group*

Marital Status

Number of Kids

Father Name

Mother Name*

Present Address

Permanent Address

Current City

Contact Number

Urgent Contact

Occupassion

Designation

Organization Name

Organization Address

Other Profession (If any)

Details (if any)

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