Student's Name
Your email
Your City
Grade/Class Studying in II PUC PCM B/C/EI PUC PCM B/C/E
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Interested in or Appearing For---II PUC PCMB/C/E Board Exams onlyII PUC PCMB/C/E Board Exams+KCETII PUC PCMB/C/E Board Exams+KCET+NEETII PUC PCMB/C/E Board Exams+KCET+JEE+NEET
Parent/Guardian Name
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Are you a BPL CardholderYesNo
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