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Tal Science & Sustainable Development/Science 3. Name of the candidate 4. Father s name 5. Mother s Name 6. Address a. Correspondence b. Permanent c. Telephone 7. Sex: M/F 9. e-mail Date of Birth 8. Fax Marital Status 10. Category: G/SC/ST/OBC 11. Nationality 12. Academic Qualifications: Name of the Board/ Degree University 1 10th Std. 12th Std. UG * PG * M.Phil. Ph. D. 2 Year of Passing 3 Major Subjects taken 4 Percentage of Marks or CGPA 5 Rank at the Board or Unive.

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