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Email
*
Phone number
*
First name
*
Last name
*
College Full Name
*
(As appearing on your admission letter/marksheet)
Residential Address
*
As appearing on your address proof
City
Postal code
*
State/Region
*
Date of birth
Highest Education
*
Mention you year and course
Photo Id & Address Proof
*
Document should be Aadhar card/Pan Card (if providing Aadhar card then please add photos of both side in one page)
Student ID/Bonafide Certificate/Admission Letter
*
Previous Semester Marksheet
*
add your previous semester marksheet
IAC Mentor Name
Submit