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| Application No. | Yeh Hum Mangte Nhi | Roll No. (Session 2) |
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| Candidate's Name | - | ||
| Mother's Name | - | Category | - |
| Father's Name | - | Person with Benchmark Disability (PwBD) | - |
| Gender | - | Date of Birth | - |
| State of Eligibility | - | Nationality | Indian |
