Course * |
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Name * |
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Date of birth * |
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Email * |
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Password * |
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Role * |
Student
Professional
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Institution / Organization Name * |
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Communication Address * |
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Country * |
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State * |
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City * |
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Pincode * |
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Mobile * |
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Reference by * |
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Reference Other Details * |
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Aadhaar number * |
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PAN number * |
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Passport Size Photo * (.jpg only and image size less than 2MB) |
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Government IDAadhaar Card * (.jpg only and image size less than 2MB) |
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Pan Card * (.jpg only and image size less than 2MB) |
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Degree certificate Degree certificate/College ID * (.jpg only and image size less than 2MB) |
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* All information submitted above are true to best of my knowledge. I undertake that all KYC documents submitted here are true copies of the original which is available with me. IIT Madras can verify the same with appropriate authorities, without any explicit consent from me.
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