JNVST_2018 Application Form

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Registration Number *

Name of Block *

Candidate's Name *

Sex (Boy/Girl/TG) *

Category (Gen/OBC/SC/ST) *

Disabled (PH / VH/HI) *

Area (Urban / Rural) *

Date of birth *

YYYY

Medium of Examination *

Father's/Mother's/Guardian's Name *

Address *

Phone Number *

Application Submitted By *

Submit

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