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ONLINE APPLICATION |
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1.PERSONAL DETAILS
(All fields marked with * are mandatory) |
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1(a).Please enter your name as it appears in your 10th standard marks card.
Do not prefix Dr, Mr, Mrs, Miss/Ms etc. |
Name of the Applicant*
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Sex*
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Date of Birth*
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 DD/MM/YYYY |
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Nationality
* |
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Name of the Parent/ Guardian*
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1(b).Please enter your complete postal address including pincode.
(Please fill in the details correctly, as this information will be used in all further postal communications from Manipal University) |
Address for Correspondence(Line 1)
(Donot repeat your name) |
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Address (Line 2) |
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Address (Line 3) |
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City |
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State |
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Pin Code |
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Area Code
Telephone Number |
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Mobile Number |
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Email Id
* |
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Confirm Email - ID*
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Alternative Email - ID |
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1(c) Please create a password to facilitate your Online Entrance Exam.
(Passwords should consist of 9 digits. Characters or special characters are not allowed. Kindly remember this password. It will be used to log in to the Online Test Booking System)
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Password*
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Retype Password |
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Security Question*
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Security Answer*
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2. QUALIFYING EXAMINATION DETAILS |
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Please specify the relevant Board / University in case of State Board and Others |
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Name of the Institution Presently Studying in / Last Attended
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Qualifying Examination
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Name of the Board / University
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Year of passing
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3. Please select the Course/s you would like to apply * |
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Courses
* |
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Are you a diploma holder? :
Are you a GATE scorer? :
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