Student's Details
Roll No.	{{RollNoValue}}	Student's Name	{{StudName}}	Enroll No.	{{EnrnNo}}
Father's Name	{{FatherName}}	Mother's Name	{{MotherName}}	Date Of Birth (dd/mm/yyyy)	{{Dob}}
School Code	{{SchCode}}	Student Type	{{RegPvt}}	Center Code	{{CentCode}}

Subjects Details ({{ AppTypeText }} Application) *
	{{SujectCode1}} {{SujectName1}}
	{{SujectCode2}} {{SujectName2}}
	{{SujectCode3}} {{SujectName3}}
	{{SujectCode4}} {{SujectName4}}
	{{SujectCode5}} {{SujectName5}}
	{{SujectCode6}} {{SujectName6}}
	{{SujectCode7}} {{SujectName7}}

Address Details
House No. *     Please enter valid HouseNo .!	Colony * Please enter valid Colony .!	Village / City * Please enter valid Village/City .!
District *          Select AGAR MALWA ALIRAJPUR ANUPPUR ASHOKNAGAR BALAGHAT BARWANI BETUL BHIND BHOPAL BURHANPUR CHHATARPUR CHHINDWARA DAMOH DATIA DEWAS DHAR DINDORI GUNA GWALIOR HARDA HOSHANGABAD INDORE JABALPUR JHABUA KATNI KHANDWA KHARGONE MANDLA MANDSAUR MORENA NARSINGHPUR NEEMUCH PANNA RAISEN RAJGARH RATLAM REWA SAGAR SATNA SEHORE SEONI SHAHDOL SHAJAPUR SHEOPUR SHIVPURI SIDHI SINGRAULI TIKAMGARH UJJAIN UMARIA VIDISHA	State *       Please enter valid State .!	Pin Code *         Please enter valid Pin Code .!
Mobile No. Please enter valid Mobile No .!	Email Id * (उत्तरपुस्तिका की कॉपी ईमेल आईडी पर भेजी जाएगी. कृपया सही ईमेल आईडी दर्ज करें) Please enter valid Email Id .!		Aadhar No. Please enter valid Aadhar No .!