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(Session : 2024-25)
--Select College--
JEEVANDEEP INSTITUTE OF MANAGEMENT & TECHNOLOGY
JEEVANDEEP MAHAVIDYALAYA
JEEVANDEEP PUBLIC SCHOOL
JEEVANDEEP SCHOOL OF NURSING
--Select Course--
NURSERY
L.K.G
U.K.G
I
II
III
IV
V
VI
VII
VIII
IX
XI-MATH
XI-BIO
XI-COMM
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Permanent Address
--Select State--
UTTAR PRADESH
--Select District--
AGRA
ALIGARH
AMBEDKAR NAGAR
AMETHI
AMROHA
AURAIYA
AYODHYA
AZAMGARH
BAGHPAT
BAHRAICH
BALLIA
BALRAMPUR
BANDA
BARABANKI
BAREILLY
BASTI
BHADOHI
BIJNOR
BUDAUN
BULANDSHAHR
CHANDAULI
CHITRAKOOT
DEORIA
ETAH
ETAWAH
FARRUKHABAD
FATEHPUR
FIROZABAD
GAUTAM BUDDHA NAGAR
GHAZIABAD
GHAZIPUR
GONDA
GORAKHPUR
HAMIRPUR
HAPUR
HARDOI
HATHRAS
JALAUN
JAUNPUR
JHANSI
KANNAUJ
KANPUR DEHAT
KANPUR NAGAR
KASGANJ
KAUSHAMBI
KHERI
KUSHINAGAR
LALITPUR
LUCKNOW
MAHARAJGANJ
MAHOBA
MAINPURI
MATHURA
MAU
MEERUT
MIRZAPUR
MORADABAD
MUZAFFARNAGAR
PILIBHIT
PRATAPGARH
PRAYAGRAJ
RAEBARELI
RAMPUR
SAHARANPUR
SAMBHAL
SANT KABIR NAGAR
SHAHJAHANPUR
SHAMLI
SHRAVASTI
SIDDHARTHNAGAR
SITAPUR
SONBHADRA
SULTANPUR
UNNAO
VARANASI
Correspondence Address
Same as Address
--Select State--
UTTAR PRADESH
--Select District--
AGRA
ALIGARH
AMBEDKAR NAGAR
AMETHI
AMROHA
AURAIYA
AYODHYA
AZAMGARH
BAGHPAT
BAHRAICH
BALLIA
BALRAMPUR
BANDA
BARABANKI
BAREILLY
BASTI
BHADOHI
BIJNOR
BUDAUN
BULANDSHAHR
CHANDAULI
CHITRAKOOT
DEORIA
ETAH
ETAWAH
FARRUKHABAD
FATEHPUR
FIROZABAD
GAUTAM BUDDHA NAGAR
GHAZIABAD
GHAZIPUR
GONDA
GORAKHPUR
HAMIRPUR
HAPUR
HARDOI
HATHRAS
JALAUN
JAUNPUR
JHANSI
KANNAUJ
KANPUR DEHAT
KANPUR NAGAR
KASGANJ
KAUSHAMBI
KHERI
KUSHINAGAR
LALITPUR
LUCKNOW
MAHARAJGANJ
MAHOBA
MAINPURI
MATHURA
MAU
MEERUT
MIRZAPUR
MORADABAD
MUZAFFARNAGAR
PILIBHIT
PRATAPGARH
PRAYAGRAJ
RAEBARELI
RAMPUR
SAHARANPUR
SAMBHAL
SANT KABIR NAGAR
SHAHJAHANPUR
SHAMLI
SHRAVASTI
SIDDHARTHNAGAR
SITAPUR
SONBHADRA
SULTANPUR
UNNAO
VARANASI
Academic Qualification
Exam Passed
Board University
School/College
Year
Division
% Marks
Subject
High School
Intermediate
Graduation
Any Other
Hostel
YES
NO
I HEREBY DECLARE THAT I HAVE READ AND UNDERSTOOD THE CONTENT OF THIS CODE OF CONDUCT AND WILL ADHERE TO IT
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