Siddhart Sethi & Avinash Sethi – Building Legacy, Leadership, Impact
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Email*
Full Name*
Parent's or Guardian's Name *
Date of Birth *
Gender * MaleFemale
Mobile No.*
Marital Status Choose oneMarriedUnmarried
Local Address *
Permanent Address *
State* Select StateAndhra PradeshArunachal PradeshAssamBiharChhattisgarhGoaGujaratHaryanaHimachal PradeshJharkhandKarnatakaKeralaMadhya PradeshMaharashtraManipurMeghalayaMizoramNagalandOdishaPunjabRajasthanSikkimTamil NaduTelanganaTripuraUttar PradeshUttarakhandWest Bengal
Preferred City* Select CityIndorePune
Qualification* Choose One10th Pass12th PassDiplomaITIBachelor's DegreeMaster's Degree
Graduation Completion Year Select Year195019511952195319541955195619571958195919601961196219631964196519661967196819691970197119721973197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021202220232024202520262027202820292030
College Name (Name of the college the student is currently studying in or last attended)*
Annual Family Income(as per Income Certificate)**Amount in INR.
Source of Information -ITEP(Please mention the name of the college/person and specify whether the reference is an alumnus or a current student, etc.)*
Please Upload your Documents in PDF or JPEG Format – 12th Marksheet and Latest Year Passout Marksheet, Aadhar Card, Father’s Aadhar Card, Samagra ID* *Allowed file types: PDF, JPEG. Maximum file size: 5MB.
Please upload your passport size photo* *Allowed file types: Any. Maximum file size: 1MB.
Please Upload Your Father’s Income Certificate in PDF or JPEG Format* *Allowed file types: PDF, JPEG. Maximum file size: 5MB.
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