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JHARKHAND REGIONAL SCHOLARSHIP TEST

POWERED BY: BRIGHT EDUCATIONAL INSTITUTION

MANAGED BY: CARE FOUNDATION CHARITABLE TRUST

KODERMA, JHARKHAND

ONLINE PRE-REGISTRATION FORM

Dream Course :

Referral by :

Student's Name: * Father's Name: * Mother's Name: * Date of Birth: * Aadhaar Number: *

Mobile Number: *

Guardian's Number:

Gender: *

MaleFemaleOther

Category: *

GenOBCSCST

Permanent Address:

Village/Colony: *

Block: *

District: *

Pin Code: *

EDUCATION QUALIFICATION:

10th:

12th (PCM):

12th (PCB):

12th (Arts & Com.):

ITI:

Diploma:

Form Fill Up Location:

For Enquiry Contact: +91 77399 24358 +91 77399 24359

Bright Educational Institution is dedicated to providing quality education in nursing, paramedical, pharmacy, and degree programs with a focus on academic excellence and career readiness.

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