Student Membership
Board of Professional Education and Research
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General Information
Name of the Candidate
*
Father Name
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Mother Name
*
Mobile Number
*
Whatsapp Number
*
Email
*
Date of Birth
*
Gender
*
Gender
Male
Female
Transgender
Nationality
*
Nationality
Indian
Others
Religion
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Religion
Hindu
Muslim
Christian
Sikhs
Jains
Others
Community
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Community
OC
OBC
BC
SC
ST
Others
Educational Qualification
Qualification
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Qualification
10th / Equivalent
12th / Equivalent
Diploma Engineering / Equivalent
UG Examinations / Equivalent (BA / B.Com / B.Sc / BBA / BCA)
UG Examinations / Equivalent (B.E / B.Tech)
PG Examinations / Equivalent (MA / M.Com / M.Sc / MBA / MCA)
PG Examinations / Equivalent (M.E / M.Tech)
Stream / Specialization
*
College Name
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College Reg. No
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Course Starting Date
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Course Ending Date
*
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Upload Signature
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Upload Aadhaar
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Upload College ID
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Upload College ID
Upload Educational Certificates
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Upload Educational Certificates
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