Registration No.		Date
Name
Name in Hindi
Father's Name
Mother's Name
Programme
Are you domicile of Bihar
Date of Birth		Aadhar No
Mobile No.		E-mail Id
Sex		Nationality
Marks Type (in previous exam)		Marks Percentage (in previous exam)

Payment Details

Payment Status	Transaction No	Transaction Amount

ADDRESS FOR THE COMMUNICATION

Permanent Address
Pin Code			State
Correspondence Address
Pin Code			State

QUALIFICATION DETAILS

Examination	University/Board	Name of Institution	Passed/ Appearing	Year of Passing	Marks Obtained	Total Marks	Percent	Division	Subject
10th Standard
12th Standard
Bachelor Degree*