Application Form

Name of the Institution *

In which location of Ajmal Super 40 do you want to study? *

Name of Student *

Date of Birth *

Gender *

Female Male

Religion *

Hinduism Christianity Islam Sikhism Other

Are you belonging to Divyangjan/PwD *

PERSONAL DETAILS :

Father’s Name *

Father’s Occupation *

WhatsApp No. *

Mother’s Name *

Mother’s Occupation

Mobile No. *

POSTAL ADDRESS :

Village / Town / City *

Post Office *

PIN Code *

State *

District *

SELECT EXAM CENTRE :

State *

District *

Centre *

Upload Passport Photo *Max size : 500KB

Upload Signature *Max size : 500KB

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