Prefix Mr. Mrs. Ms. First Name Middle Name Last Name Father's First Name Father's Middle Name Father's Last Name Mother's Full Name Date Of Birth Gender Male Female Transgender Category Scheduled Castes (SC) Scheduled Tribes (ST) Other Backward Classes (OBC) General Mobile Number Email ID Aadher Number Address Country India State Andhra Pradesh Arunachal Pradesh Assam Bihar Chhattisgarh Goa Gujarat Haryana Himachal Pradesh Jharkhand Karnataka Kerala Madhya Pradesh Maharashtra Manipur Meghalaya Mizoram Nagaland Odisha Punjab Rajasthan Sikkim Tamil Nadu Telangana Tripura Uttar Pradesh Uttarakhand West Bengal Andaman and Nicobar Islands Chandigarh Dadra and Nagar Haveli and Daman and Diu Lakshadweep Delhi (National Capital Territory of Delhi) Puducherry Ladakh Lakshadweep City Landmark Pin Code Education Middle School or Junior High School(8th Grade) 9th Grade (Freshman) 10th Grade (Sophomore) 11th Grade (Junior) 12th Grade (Senior) Undergraduate(1st Year) Undergraduate(2nd Year) Undergraduate(3rd Year) Graduate or Postgraduate Professional Education A passport-size color photograph Save and Next