{"id":43448,"date":"2025-05-12T19:21:13","date_gmt":"2025-05-12T13:51:13","guid":{"rendered":"https:\/\/vims.ac.in\/education\/?page_id=43448"},"modified":"2025-05-13T18:21:51","modified_gmt":"2025-05-13T12:51:51","slug":"applications-for-allied-health-sciences-physiotherapy","status":"publish","type":"page","link":"https:\/\/vims.ac.in\/education\/applications-for-allied-health-sciences-physiotherapy\/","title":{"rendered":"Application for Allied Health Sciences &amp; Physiotherapy Courses"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"43448\" class=\"elementor elementor-43448\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9663718 e-flex e-con-boxed e-con e-parent\" data-id=\"9663718\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-033abec fluentform-widget-submit-button-center fluent-form-widget-step-header-yes fluent-form-widget-step-progressbar-yes fluentform-widget-submit-button-custom elementor-widget elementor-widget-fluent-form-widget\" data-id=\"033abec\" data-element_type=\"widget\" data-widget_type=\"fluent-form-widget.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\n            <div class=\"fluentform-widget-wrapper fluentform-widget-align-default\">\n\n            \n            <div class='fluentform ff-default fluentform_wrapper_15 ffs_default_wrap'><form data-form_id=\"15\" id=\"fluentform_15\" class=\"frm-fluent-form fluent_form_15 ff-el-form-top ff_form_instance_15_1 ff-form-loading ffs_default\" data-form_instance=\"ff_form_instance_15_1\" method=\"POST\" ><fieldset  style=\"border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;\">\n                    <legend class=\"ff_screen_reader_title\" style=\"display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;\">Online Application form- Physiotherapy-2<\/legend><input type='hidden' name='__fluent_form_embded_post_id' value='43448' \/><input type=\"hidden\" id=\"_fluentform_15_fluentformnonce\" name=\"_fluentform_15_fluentformnonce\" value=\"e7d8e80701\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/education\/wp-json\/wp\/v2\/pages\/43448\" \/><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-15_1\" ><h4 style=\"text-align: center\">Personal Information<\/h4><\/div><div data-name=\"ff_cn_id_1\"  class='ff-t-container ff-column-container ff_columns_total_4  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 25%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_student_name' >CANDIDATE\u2019S FULL NAME:<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"student_name\" class=\"ff-el-form-control\" placeholder=\"As per SSLC\/10th marks card\" data-name=\"student_name\" id=\"ff_15_student_name\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 25%;'><div data-type=\"name-element\" data-name=\"names_1\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_names_1_first_name_' >First Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names_1[first_name]\" id=\"ff_15_names_1_first_name_\" class=\"ff-el-form-control\" placeholder=\"First Name\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 25%;'><div data-type=\"name-element\" data-name=\"names_2\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_15_names_2_middle_name_' >Middle Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names_2[middle_name]\" id=\"ff_15_names_2_middle_name_\" class=\"ff-el-form-control\" placeholder=\"Middle Name\" aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-4' style='flex-basis: 25%;'><div data-type=\"name-element\" data-name=\"names_3\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_names_3_last_name_' >Last Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names_3[last_name]\" id=\"ff_15_names_3_last_name_\" class=\"ff-el-form-control\" placeholder=\"Last Name\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_2\"  class='ff-t-container ff-column-container ff_columns_total_4  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 25%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_datetime' aria-label=\"Date of Birth: (DD\/MM\/YYYY)\">Date of Birth: (DD\/MM\/YYYY)<\/label><\/div><div class='ff-el-input--content'><input  aria-label='Date of Birth: (DD\/MM\/YYYY) Use arrow keys to navigate dates. Press enter to select a date.'  aria-haspopup='dialog' data-type-datepicker data-format='d\/m\/Y' type=\"text\" name=\"datetime\" id=\"ff_15_datetime\" class=\"ff-el-form-control ff-el-datepicker\" data-name=\"datetime\"  aria-invalid='false' aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 25%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_dropdown_3' aria-label=\"Gender\">Gender<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_3\" id=\"ff_15_dropdown_3\" class=\"ff-el-form-control\" data-name=\"dropdown_3\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=true><option value=\"\">- Select -<\/option><option value=\"Male\"  >Male<\/option><option value=\"Female\"  >Female<\/option><option value=\"Other \"  >Other<\/option><\/select><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 25%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_input_text' aria-label=\"Place of Birth City\/Town\">Place of Birth City\/Town <\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text\" class=\"ff-el-form-control\" data-name=\"input_text\" id=\"ff_15_input_text\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-4' style='flex-basis: 25%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_input_text_1' aria-label=\"District\">District<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_1\" class=\"ff-el-form-control\" data-name=\"input_text_1\" id=\"ff_15_input_text_1\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_3\"  class='ff-t-container ff-column-container ff_columns_total_4  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 25%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_input_text_2' aria-label=\"State\">State<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_2\" class=\"ff-el-form-control\" data-name=\"input_text_2\" id=\"ff_15_input_text_2\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 25%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_dropdown_4' aria-label=\"Nationality\">Nationality<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_4\" id=\"ff_15_dropdown_4\" class=\"ff-el-form-control\" data-name=\"dropdown_4\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=true><option value=\"\">- Select -<\/option><option value=\"Indian\"  >Indian<\/option><option value=\"NRI (Non-Resident Indian)\"  >NRI (Non-Resident Indian)<\/option><option value=\"Foreign National\"  >Foreign National<\/option><\/select><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 25%;'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_15_dropdown' aria-label=\"Mother Tongue\">Mother Tongue<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown\" id=\"ff_15_dropdown\" class=\"ff-el-form-control\" data-name=\"dropdown\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=false><option value=\"\">- Select -<\/option><option value=\"Assamese\"  >Assamese<\/option><option value=\"Bengali\"  >Bengali<\/option><option value=\"Bodo\"  >Bodo<\/option><option value=\"Dogri\"  >Dogri<\/option><option value=\"Gujarati\"  >Gujarati<\/option><option value=\"Kannada\"  >Kannada<\/option><option value=\"Kashmiri\"  >Kashmiri<\/option><option value=\"Konkani\"  >Konkani<\/option><option value=\"Maithili\"  >Maithili<\/option><option value=\"Malayalam\"  >Malayalam<\/option><option value=\"Marathi\"  >Marathi<\/option><option value=\"Meiti\"  >Meiti<\/option><option value=\"Nepali\"  >Nepali<\/option><option value=\"Odia\"  >Odia<\/option><option value=\"Punjabi\"  >Punjabi<\/option><option value=\"Sanskrit\"  >Sanskrit<\/option><option value=\"Santali\"  >Santali<\/option><option value=\"Sindhi\"  >Sindhi<\/option><option value=\"Tamil\"  >Tamil<\/option><option value=\"Telugu\"  >Telugu<\/option><option value=\"Urdu\"  >Urdu<\/option><option value=\"Others\"  >Others<\/option><\/select><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-4' style='flex-basis: 25%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_dropdown_21' aria-label=\"Religion\">Religion<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_21\" id=\"ff_15_dropdown_21\" class=\"ff-el-form-control\" data-name=\"dropdown_21\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=true><option value=\"\">- Select -<\/option><option value=\"Hindu\"  >Hindu<\/option><option value=\"Muslim\"  >Muslim<\/option><option value=\"Christian\"  >Christian<\/option><option value=\"Sikh\"  >Sikh<\/option><option value=\"Buddhist\"  >Buddhist<\/option><option value=\"Jain\"  >Jain<\/option><option value=\"Others\"  >Others<\/option><\/select><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_4\"  class='ff-t-container ff-column-container ff_columns_total_4  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 25%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_dropdown_5' aria-label=\"Category\/ Quota claimed\"> Category\/ Quota claimed<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_5\" id=\"ff_15_dropdown_5\" class=\"ff-el-form-control\" data-name=\"dropdown_5\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=true><option value=\"\">- Select -<\/option><option value=\"General\"  >General<\/option><option value=\"SC (Scheduled Caste)\"  >SC (Scheduled Caste)<\/option><option value=\"ST (Scheduled Tribe)\"  >ST (Scheduled Tribe)<\/option><option value=\"OBC (Other Backward Classes)\"  >OBC (Other Backward Classes)<\/option><option value=\"EWS (Economically Weaker Section)\"  >EWS (Economically Weaker Section)<\/option><option value=\"Others (if applicable)\"  >Others (if applicable)<\/option><\/select><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 25%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_numeric_field_2' aria-label=\"Caste Certificate No\">Caste Certificate No<\/label><\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric_field_2\" id=\"ff_15_numeric_field_2\" class=\"ff-el-form-control\" data-name=\"numeric_field_2\" inputmode=\"numeric\" step=\"any\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 25%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_numeric_field_13' aria-label=\"Income Certificate RD Number\">Income Certificate RD Number <\/label><\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric_field_13\" id=\"ff_15_numeric_field_13\" class=\"ff-el-form-control\" data-name=\"numeric_field_13\" inputmode=\"numeric\" step=\"any\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-4' style='flex-basis: 25%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_numeric_field_14' aria-label=\"Annual Income\">Annual Income<\/label><\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric_field_14\" id=\"ff_15_numeric_field_14\" class=\"ff-el-form-control\" data-name=\"numeric_field_14\" inputmode=\"numeric\" step=\"any\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_5\"  class='ff-t-container ff-column-container ff_columns_total_1  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 100%;'><div class=\"ff-name-address-wrapper fluent-address\" data-type=\"address-element\" data-name=\"address_1\" ><div class='ff-el-input--label'><label aria-label=\"Contact Information: Permanent Address\">Contact Information: Permanent Address<\/label><\/div><div class='ff-el-input--content'><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_address_1_address_line_2_' aria-label=\"House Number\">House Number<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[address_line_2]\" id=\"ff_15_address_1_address_line_2_\" class=\"ff-el-form-control\" data-key_name=\"address_line_2\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_address_1_state_' aria-label=\"Street Name\">Street Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[state]\" id=\"ff_15_address_1_state_\" class=\"ff-el-form-control\" data-key_name=\"state\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_6\"  class='ff-t-container ff-column-container ff_columns_total_4  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 25%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_pincode' aria-label=\"Pincode\">Pincode<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"pincode\" class=\"ff-el-form-control ff_pincode\" data-name=\"pincode\" id=\"ff_15_pincode\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 25%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_ff_city1' aria-label=\"City\">City<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"ff_city1\" class=\"ff-el-form-control ff_city\" data-name=\"ff_city1\" id=\"ff_15_ff_city1\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 25%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_state' aria-label=\"State\">State<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"state\" class=\"ff-el-form-control ff_state\" data-name=\"state\" id=\"ff_15_state\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-4' style='flex-basis: 25%;'><div class='ff-el-group ff-country'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_input_text_79' aria-label=\"Country\">Country<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_79\" class=\"ff-el-form-control\" data-name=\"input_text_79\" id=\"ff_15_input_text_79\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"Correspondence address is same as permanent address\">Correspondence address is same as permanent address<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_94adceccf6e195d6ae41c61ba6fb6e9f><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_94adceccf6e195d6ae41c61ba6fb6e9f' aria-label='Yes' aria-invalid='false' aria-required=true> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_67d3bea8d258fc5e71c11faf53713c9a><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_67d3bea8d258fc5e71c11faf53713c9a' aria-label='No' aria-invalid='false' aria-required=true> <span>No<\/span><\/label><\/div><\/div><\/div><div class=\"ff-name-address-wrapper fluent-address has-conditions\" data-type=\"address-element\" data-name=\"address_3\" ><div class='ff-el-input--label'><label aria-label=\"Correspondence Address: (if different from permanent address)\">Correspondence Address: (if different from permanent address)<\/label><\/div><div class='ff-el-input--content'><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_address_3_address_line_1_' aria-label=\"House Number\">House Number<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_3[address_line_1]\" id=\"ff_15_address_3_address_line_1_\" class=\"ff-el-form-control\" data-key_name=\"address_line_1\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_address_3_address_line_2_' aria-label=\"Street Name\">Street Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_3[address_line_2]\" id=\"ff_15_address_3_address_line_2_\" class=\"ff-el-form-control\" data-key_name=\"address_line_2\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_7\"  class='ff-t-container ff-column-container ff_columns_total_4  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 25%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_ff_pincode_1' aria-label=\"Pincode\">Pincode<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"ff_pincode_1\" class=\"ff-el-form-control ff_pincode\" data-name=\"ff_pincode_1\" id=\"ff_15_ff_pincode_1\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 25%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_city' aria-label=\"City\">City<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"city\" class=\"ff-el-form-control ff_city\" data-name=\"city\" id=\"ff_15_city\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 25%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_ff_state_1' aria-label=\"State\">State<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"ff_state_1\" class=\"ff-el-form-control ff_state\" data-name=\"ff_state_1\" id=\"ff_15_ff_state_1\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-4' style='flex-basis: 25%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_ff_country_1' aria-label=\"Country\">Country<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"ff_country_1\" class=\"ff-el-form-control ff_country\" data-name=\"ff_country_1\" id=\"ff_15_ff_country_1\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-15_2\" ><hr class=\"dashed\" \/><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-15_3\" ><h4 style=\"text-align: center\">Educational Qualifications<\/h4>\n<p style=\"text-align: center\">Class-wise Details from Class 10<sup>th<\/sup> and Class 12<sup>th<\/sup>\u00a0<\/p><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-15_4\" ><h6>\u00a010th Standard<\/h6><\/div><div data-name=\"ff_cn_id_8\"  class='ff-t-container ff-column-container ff_columns_total_4  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 25%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_input_text_34' aria-label=\"Name and Address of the School\">Name and Address of the School<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_34\" class=\"ff-el-form-control\" data-name=\"input_text_34\" id=\"ff_15_input_text_34\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 25%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_dropdown_16' aria-label=\"College\/School Type:\">College\/School Type:<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_16\" id=\"ff_15_dropdown_16\" class=\"ff-el-form-control\" data-name=\"dropdown_16\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=true><option value=\"\">- Select -<\/option><option value=\"Government\"  >Government<\/option><option value=\"Private\"  >Private<\/option><\/select><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 25%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_input_text_35' aria-label=\"Board of Examination\">Board of Examination<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_35\" class=\"ff-el-form-control\" data-name=\"input_text_35\" id=\"ff_15_input_text_35\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-4' style='flex-basis: 25%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_numeric_field_15' aria-label=\"Year of Passing\">Year of Passing<\/label><\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric_field_15\" id=\"ff_15_numeric_field_15\" class=\"ff-el-form-control\" data-name=\"numeric_field_15\" inputmode=\"numeric\" step=\"any\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-15_5\" ><h6>\u00a012th Standard<\/h6><\/div><div data-name=\"ff_cn_id_9\"  class='ff-t-container ff-column-container ff_columns_total_4  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 25%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_input_text_48' aria-label=\"Name and Address of the College\">Name and Address of the College<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_48\" class=\"ff-el-form-control\" data-name=\"input_text_48\" id=\"ff_15_input_text_48\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 25%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_dropdown_18' aria-label=\"College\/School Type:\">College\/School Type:<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_18\" id=\"ff_15_dropdown_18\" class=\"ff-el-form-control\" data-name=\"dropdown_18\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=true><option value=\"\">- Select -<\/option><option value=\"Government\"  >Government<\/option><option value=\"Private\"  >Private<\/option><\/select><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 25%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_input_text_49' aria-label=\"Board of Examination\">Board of Examination<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_49\" class=\"ff-el-form-control\" data-name=\"input_text_49\" id=\"ff_15_input_text_49\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-4' style='flex-basis: 25%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_numeric_field_16' aria-label=\"Year of Passing\">Year of Passing<\/label><\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric_field_16\" id=\"ff_15_numeric_field_16\" class=\"ff-el-form-control\" data-name=\"numeric_field_16\" inputmode=\"numeric\" step=\"any\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_10\"  class='ff-t-container ff-column-container ff_columns_total_4  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 25%;'><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-15_6\" ><p style=\"border: 1px solid #dadbdd;padding: 2% 1% 2% 3%;margin-top: 12%\">Stream: Science<\/p><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 25%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_dropdown_22' aria-label=\"Subjects Taken:\">Subjects Taken: <\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_22\" id=\"ff_15_dropdown_22\" class=\"ff-el-form-control\" data-name=\"dropdown_22\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=true><option value=\"\">- Select -<\/option><option value=\"PCB\"  >PCB<\/option><option value=\"PCMB\"  >PCMB<\/option><\/select><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 25%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_numeric_field_17' aria-label=\"Total Max. Marks:\">Total Max. Marks: <\/label><\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric_field_17\" id=\"ff_15_numeric_field_17\" class=\"ff-el-form-control\" data-name=\"numeric_field_17\" inputmode=\"numeric\" step=\"any\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-4' style='flex-basis: 25%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_numeric_field_18' aria-label=\"Total Marks Obtained:\">Total Marks Obtained:<\/label><\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric_field_18\" id=\"ff_15_numeric_field_18\" class=\"ff-el-form-control\" data-name=\"numeric_field_18\" inputmode=\"numeric\" step=\"any\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_11\"  class='ff-t-container ff-column-container ff_columns_total_4  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 25%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_input_text_55' aria-label=\"Total Max. Marks in PCB:\">Total Max. Marks in PCB:<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_55\" class=\"ff-el-form-control\" data-name=\"input_text_55\" id=\"ff_15_input_text_55\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 25%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_input_text_56' aria-label=\"Total PCB Marks Obtained:\"> Total PCB Marks Obtained: <\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_56\" class=\"ff-el-form-control\" data-name=\"input_text_56\" id=\"ff_15_input_text_56\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 25%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_input_text_57' aria-label=\"Total PCB Percentage:\">Total PCB Percentage:<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_57\" class=\"ff-el-form-control\" data-name=\"input_text_57\" id=\"ff_15_input_text_57\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-4' style='flex-basis: 25%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_input_text_58' aria-label=\"Aggregate Percentage:\">Aggregate Percentage:<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_58\" class=\"ff-el-form-control\" data-name=\"input_text_58\" id=\"ff_15_input_text_58\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_12\"  class='ff-t-container ff-column-container ff_columns_total_2  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_numeric_field_20' aria-label=\"Max.Marks in English\">Max.Marks in English<\/label><\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric_field_20\" id=\"ff_15_numeric_field_20\" class=\"ff-el-form-control\" data-name=\"numeric_field_20\" inputmode=\"numeric\" step=\"any\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_numeric_field_19' aria-label=\"Marks Secured in English\">Marks Secured in English<\/label><\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric_field_19\" id=\"ff_15_numeric_field_19\" class=\"ff-el-form-control\" data-name=\"numeric_field_19\" inputmode=\"numeric\" step=\"any\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"Parent\/Guardian Information\">Parent\/Guardian Information<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_3_4f00216f25c3c1dac2bbfc80ebaf33da><input  type=\"radio\" name=\"input_radio_3\" data-name=\"input_radio_3\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Parent\"  id='input_radio_3_4f00216f25c3c1dac2bbfc80ebaf33da' aria-label='Parent' aria-invalid='false' aria-required=true> <span>Parent<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_3_2d9beb7fbe045231d3c233ad254d7c0e><input  type=\"radio\" name=\"input_radio_3\" data-name=\"input_radio_3\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Guardian Information\"  id='input_radio_3_2d9beb7fbe045231d3c233ad254d7c0e' aria-label='Guardian Information' aria-invalid='false' aria-required=true> <span>Guardian Information<\/span><\/label><\/div><\/div><\/div><div data-name=\"ff_cn_id_13\"  class='ff-t-container ff-column-container ff_columns_total_4  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 25%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_input_text_59' aria-label=\"Father\u2019s Name\">Father\u2019s Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_59\" class=\"ff-el-form-control\" data-name=\"input_text_59\" id=\"ff_15_input_text_59\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 25%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_dropdown_23' aria-label=\"Father\u2019s Occupation\">Father\u2019s Occupation<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_23\" id=\"ff_15_dropdown_23\" class=\"ff-el-form-control\" data-name=\"dropdown_23\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=true><option value=\"\">- Select -<\/option><option value=\"Doctors\"  >Doctors<\/option><option value=\"Engineers\"  >Engineers<\/option><option value=\"Lawyers\"  >Lawyers<\/option><option value=\"Teachers\"  >Teachers<\/option><option value=\"Self-Employed Individuals\"  >Self-Employed Individuals<\/option><option value=\"Business Owners\"  >Business Owners<\/option><option value=\"Others\"  >Others<\/option><\/select><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 25%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_email' aria-label=\"Father&#039;s Mail\">Father's Mail<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email\" id=\"ff_15_email\" class=\"ff-el-form-control\" data-name=\"email\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-4' style='flex-basis: 25%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_numeric_field_21' aria-label=\"Father\u2019s Annual Income\">Father\u2019s Annual Income<\/label><\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric_field_21\" id=\"ff_15_numeric_field_21\" class=\"ff-el-form-control\" data-name=\"numeric_field_21\" inputmode=\"numeric\" step=\"any\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_14\"  class='ff-t-container ff-column-container ff_columns_total_4  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 25%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_phone_1' aria-label=\"Father Mobile Number\">Father Mobile Number<\/label><\/div><div class='ff-el-input--content'><input name=\"phone_1\" class=\"ff-el-form-control ff-el-phone ff_el_with_extended_validation\" type=\"tel\" placeholder=\"Mobile Number\" data-name=\"phone_1\" id=\"ff_15_phone_1\" inputmode=\"tel\"  aria-invalid='false' aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 25%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_input_text_62' aria-label=\"Mother\u2019s Name\">Mother\u2019s Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_62\" class=\"ff-el-form-control\" data-name=\"input_text_62\" id=\"ff_15_input_text_62\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 25%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_dropdown_24' aria-label=\"Mother\u2019s Occupation\">Mother\u2019s Occupation<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_24\" id=\"ff_15_dropdown_24\" class=\"ff-el-form-control\" data-name=\"dropdown_24\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=true><option value=\"\">- Select -<\/option><option value=\"Doctors\"  >Doctors<\/option><option value=\"Engineers\"  >Engineers<\/option><option value=\"Lawyers\"  >Lawyers<\/option><option value=\"Teachers\"  >Teachers<\/option><option value=\"Self-Employed Individuals\"  >Self-Employed Individuals<\/option><option value=\"Business Owners\"  >Business Owners<\/option><option value=\"House Wife Entrepreneurs\"  >House Wife Entrepreneurs<\/option><option value=\"Others\"  >Others<\/option><\/select><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-4' style='flex-basis: 25%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_numeric_field_22' aria-label=\"Mother\u2019s Annual Income\">Mother\u2019s Annual Income<\/label><\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric_field_22\" id=\"ff_15_numeric_field_22\" class=\"ff-el-form-control\" data-name=\"numeric_field_22\" inputmode=\"numeric\" step=\"any\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_15\"  class='ff-t-container ff-column-container ff_columns_total_4  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 25%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_input_text_65' aria-label=\"Guardian\u2019s Name:\">Guardian\u2019s Name: <\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_65\" class=\"ff-el-form-control\" placeholder=\"If applicable\" data-name=\"input_text_65\" id=\"ff_15_input_text_65\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 25%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_input_text_66' aria-label=\"Relationship to Candidate:\">Relationship to Candidate:<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_66\" class=\"ff-el-form-control\" data-name=\"input_text_66\" id=\"ff_15_input_text_66\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 25%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_phone' aria-label=\"Guardian\u2019s Mobile Number\">Guardian\u2019s Mobile Number<\/label><\/div><div class='ff-el-input--content'><input name=\"phone\" class=\"ff-el-form-control ff-el-phone ff_el_with_extended_validation\" type=\"tel\" placeholder=\"Mobile Number\" data-name=\"phone\" id=\"ff_15_phone\" inputmode=\"tel\"  aria-invalid='false' aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-4' style='flex-basis: 25%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_email_1' aria-label=\"Guardian&#039;s Email ID\">Guardian's Email ID<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email_1\" id=\"ff_15_email_1\" class=\"ff-el-form-control\" placeholder=\"Email Address\" data-name=\"email_1\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_16\"  class='ff-t-container ff-column-container ff_columns_total_4  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 25%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"Additional Information for NRI\/Foreign Candidates. Are you an NRI?\">Additional Information for NRI\/Foreign Candidates. Are you an NRI? <\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_2_43ed2bd836cf20fbc5f4c19414820d71><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"yes\"  id='input_radio_2_43ed2bd836cf20fbc5f4c19414820d71' aria-label='Yes' aria-invalid='false' aria-required=true> <span>Yes<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=input_radio_2_4bd553aae6320d9ca158e1096790c570><input  type=\"radio\" name=\"input_radio_2\" data-name=\"input_radio_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"no\"  id='input_radio_2_4bd553aae6320d9ca158e1096790c570' aria-label='No' aria-invalid='false' aria-required=true> <span>No<\/span><\/label><\/div><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 25%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_input_text_69' aria-label=\"NRI\/Foreign Status\">NRI\/Foreign Status<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_69\" class=\"ff-el-form-control\" data-name=\"input_text_69\" id=\"ff_15_input_text_69\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 25%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_dropdown_19' aria-label=\"Are you applying as an NRI?\">Are you applying as an NRI?<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_19\" id=\"ff_15_dropdown_19\" class=\"ff-el-form-control\" data-name=\"dropdown_19\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=true><option value=\"\">- Select -<\/option><option value=\"Yes \"  >Yes<\/option><option value=\"No\"  >No<\/option><\/select><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-4' style='flex-basis: 25%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_dropdown_20' aria-label=\"Are you applying as a Foreign National?\">Are you applying as a Foreign National?<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_20\" id=\"ff_15_dropdown_20\" class=\"ff-el-form-control\" data-name=\"dropdown_20\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=true><option value=\"\">- Select -<\/option><option value=\"Yes\"  >Yes<\/option><option value=\"No\"  >No<\/option><\/select><\/div><\/div><\/div><\/div><div class='ff-el-group  ff-custom_html has-conditions' tabindex='-1' data-name=\"custom_html-15_7\" ><h6>Country of Residence: (for NRI\/Foreign candidates), Residential Address in Home Country:<\/h6><\/div><div data-name=\"ff_cn_id_17\"  class='ff-t-container ff-column-container ff_columns_total_5  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 20%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_15_input_text_78' aria-label=\"House Number\/Street:\">House Number\/Street:<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_78\" class=\"ff-el-form-control\" data-name=\"input_text_78\" id=\"ff_15_input_text_78\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 20%;'><div class='ff-el-group has-conditions ff_pincode'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_ff_pincode' aria-label=\"Pincode\">Pincode<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"ff_pincode\" class=\"ff-el-form-control\" data-name=\"ff_pincode\" id=\"ff_15_ff_pincode\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 20%;'><div class='ff-el-group has-conditions ff_city'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_ff_city' aria-label=\"City\">City<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"ff_city\" class=\"ff-el-form-control\" data-name=\"ff_city\" id=\"ff_15_ff_city\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-4' style='flex-basis: 20%;'><div class='ff-el-group has-conditions ff_state'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_ff_state' aria-label=\"State\">State<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"ff_state\" class=\"ff-el-form-control\" data-name=\"ff_state\" id=\"ff_15_ff_state\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-5' style='flex-basis: 20%;'><div class='ff-el-group has-conditions ff_country'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_ff_country' aria-label=\"Country\">Country<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"ff_country\" class=\"ff-el-form-control\" data-name=\"ff_country\" id=\"ff_15_ff_country\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_18\"  class='ff-t-container ff-column-container ff_columns_total_4  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 25%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_input_text_70' aria-label=\"Passport Details\">Passport Details<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_70\" class=\"ff-el-form-control\" data-name=\"input_text_70\" id=\"ff_15_input_text_70\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 25%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_numeric_field' aria-label=\"Passport Number\">Passport Number<\/label><\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric_field\" id=\"ff_15_numeric_field\" class=\"ff-el-form-control\" data-name=\"numeric_field\" inputmode=\"numeric\" step=\"any\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 25%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_input_text_71' aria-label=\"Issuing Country\"> Issuing Country<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_71\" class=\"ff-el-form-control\" data-name=\"input_text_71\" id=\"ff_15_input_text_71\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-4' style='flex-basis: 25%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_datetime_1' aria-label=\"Expiry Date\">Expiry Date<\/label><\/div><div class='ff-el-input--content'><input  aria-label='Expiry Date Use arrow keys to navigate dates. Press enter to select a date.'  aria-haspopup='dialog' data-type-datepicker data-format='d\/m\/Y' type=\"text\" name=\"datetime_1\" id=\"ff_15_datetime_1\" class=\"ff-el-form-control ff-el-datepicker\" data-name=\"datetime_1\"  aria-invalid='false' aria-required=true><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_19\"  class='ff-t-container ff-column-container ff_columns_total_4  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 25%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_input_text_72' aria-label=\"Visa Status: (if applicable)\">Visa Status: (if applicable)<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_72\" class=\"ff-el-form-control\" data-name=\"input_text_72\" id=\"ff_15_input_text_72\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 25%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_input_text_73' aria-label=\"Visa Type\">Visa Type<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_73\" class=\"ff-el-form-control\" data-name=\"input_text_73\" id=\"ff_15_input_text_73\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 25%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_numeric_field_1' aria-label=\"Visa Number\">Visa Number<\/label><\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric_field_1\" id=\"ff_15_numeric_field_1\" class=\"ff-el-form-control\" data-name=\"numeric_field_1\" inputmode=\"numeric\" step=\"any\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-4' style='flex-basis: 25%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_input_text_74' aria-label=\"Valid Until\">Valid Until<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_74\" class=\"ff-el-form-control\" data-name=\"input_text_74\" id=\"ff_15_input_text_74\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_20\"  class='ff-t-container ff-column-container ff_columns_total_1  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 100%;'><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-15_8\" ><h6>Documents Upload Section<\/h6><\/div><\/div><\/div><div data-name=\"ff_cn_id_21\"  class='ff-t-container ff-column-container ff_columns_total_2  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_file-upload_11_1' aria-label=\"Recent Passport-sized Photograph: (Specifications: JPEG format, size limit)\">Recent Passport-sized Photograph: (Specifications: JPEG format, size limit)<\/label><\/div><div class='ff-el-input--content'><label for='ff_15_file-upload_11_1' class='ff_file_upload_holder'><span class='ff_upload_btn ff-btn' tabindex='0'>Choose File<\/span> <input type=\"file\" name=\"file-upload_11\" id=\"ff_15_file-upload_11_1\" class=\"ff-el-form-control  ff-screen-reader-element\" data-name=\"file-upload_11\" multiple=\"1\"  aria-invalid='false' aria-required=true><\/label><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_file-upload_1_1' aria-label=\"Signature: (digital upload or scanned; specifications apply)\">Signature: (digital upload or scanned; specifications apply)<\/label><\/div><div class='ff-el-input--content'><label for='ff_15_file-upload_1_1' class='ff_file_upload_holder'><span class='ff_upload_btn ff-btn' tabindex='0'>Choose File<\/span> <input type=\"file\" name=\"file-upload_1\" id=\"ff_15_file-upload_1_1\" class=\"ff-el-form-control  ff-screen-reader-element\" data-name=\"file-upload_1\" multiple=\"1\"  aria-invalid='false' aria-required=true><\/label><\/div><\/div><\/div><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-15_9\" ><h6>Required Documents<\/h6><\/div><div data-name=\"ff_cn_id_22\"  class='ff-t-container ff-column-container ff_columns_total_4  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 25%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_file-upload_5_1' aria-label=\"12th\/PUC Marks Card (scanned copy)\">12th\/PUC Marks Card (scanned copy)<\/label><\/div><div class='ff-el-input--content'><label for='ff_15_file-upload_5_1' class='ff_file_upload_holder'><span class='ff_upload_btn ff-btn' tabindex='0'>Choose File<\/span> <input type=\"file\" name=\"file-upload_5\" id=\"ff_15_file-upload_5_1\" class=\"ff-el-form-control  ff-screen-reader-element\" data-name=\"file-upload_5\" multiple=\"1\"  aria-invalid='false' aria-required=true><\/label><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 25%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_file-upload_6_1' aria-label=\"SSLC\/10th Marks Card (scanned copy)\">SSLC\/10th Marks Card (scanned copy)<\/label><\/div><div class='ff-el-input--content'><label for='ff_15_file-upload_6_1' class='ff_file_upload_holder'><span class='ff_upload_btn ff-btn' tabindex='0'>Choose File<\/span> <input type=\"file\" name=\"file-upload_6\" id=\"ff_15_file-upload_6_1\" class=\"ff-el-form-control  ff-screen-reader-element\" data-name=\"file-upload_6\" multiple=\"1\"  aria-invalid='false' aria-required=true><\/label><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 25%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_file-upload_3_1' aria-label=\"Caste Certificate (if applicable; scanned copy)\">Caste Certificate (if applicable; scanned copy)<\/label><\/div><div class='ff-el-input--content'><label for='ff_15_file-upload_3_1' class='ff_file_upload_holder'><span class='ff_upload_btn ff-btn' tabindex='0'>Choose File<\/span> <input type=\"file\" name=\"file-upload_3\" id=\"ff_15_file-upload_3_1\" class=\"ff-el-form-control  ff-screen-reader-element\" data-name=\"file-upload_3\" multiple=\"1\"  aria-invalid='false' aria-required=true><\/label><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-4' style='flex-basis: 25%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_file-upload_4_1' aria-label=\"Income Certificate (if applicable; scanned copy)\">Income Certificate (if applicable; scanned copy)<\/label><\/div><div class='ff-el-input--content'><label for='ff_15_file-upload_4_1' class='ff_file_upload_holder'><span class='ff_upload_btn ff-btn' tabindex='0'>Choose File<\/span> <input type=\"file\" name=\"file-upload_4\" id=\"ff_15_file-upload_4_1\" class=\"ff-el-form-control  ff-screen-reader-element\" data-name=\"file-upload_4\" multiple=\"1\"  aria-invalid='false' aria-required=true><\/label><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_23\"  class='ff-t-container ff-column-container ff_columns_total_4  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 25%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_file-upload_7_1' aria-label=\"Transfer Certificate from previous institution (if applicable; scanned copy)\">Transfer Certificate from previous institution (if applicable; scanned copy)<\/label><\/div><div class='ff-el-input--content'><label for='ff_15_file-upload_7_1' class='ff_file_upload_holder'><span class='ff_upload_btn ff-btn' tabindex='0'>Choose File<\/span> <input type=\"file\" name=\"file-upload_7\" id=\"ff_15_file-upload_7_1\" class=\"ff-el-form-control  ff-screen-reader-element\" data-name=\"file-upload_7\" multiple=\"1\"  aria-invalid='false' aria-required=true><\/label><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 25%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_file-upload_8_1' aria-label=\"Proof of Identity (Aadhar card, Passport, or other ID)\">Proof of Identity (Aadhar card, Passport, or other ID)<\/label><\/div><div class='ff-el-input--content'><label for='ff_15_file-upload_8_1' class='ff_file_upload_holder'><span class='ff_upload_btn ff-btn' tabindex='0'>Choose File<\/span> <input type=\"file\" name=\"file-upload_8\" id=\"ff_15_file-upload_8_1\" class=\"ff-el-form-control  ff-screen-reader-element\" data-name=\"file-upload_8\" multiple=\"1\"  aria-invalid='false' aria-required=true><\/label><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 25%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_file-upload_9_1' aria-label=\"NRI\/Foreign Certificate (if applicable; proof of NRI status, etc.)\">NRI\/Foreign Certificate (if applicable; proof of NRI status, etc.)<\/label><\/div><div class='ff-el-input--content'><label for='ff_15_file-upload_9_1' class='ff_file_upload_holder'><span class='ff_upload_btn ff-btn' tabindex='0'>Choose File<\/span> <input type=\"file\" name=\"file-upload_9\" id=\"ff_15_file-upload_9_1\" class=\"ff-el-form-control  ff-screen-reader-element\" data-name=\"file-upload_9\" multiple=\"1\"  aria-invalid='false' aria-required=true><\/label><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-4' style='flex-basis: 25%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_file-upload_10_1' aria-label=\"Any other relevant documents as specified by institution\">Any other relevant documents as specified by institution<\/label><\/div><div class='ff-el-input--content'><label for='ff_15_file-upload_10_1' class='ff_file_upload_holder'><span class='ff_upload_btn ff-btn' tabindex='0'>Choose File<\/span> <input type=\"file\" name=\"file-upload_10\" id=\"ff_15_file-upload_10_1\" class=\"ff-el-form-control  ff-screen-reader-element\" data-name=\"file-upload_10\" multiple=\"1\"  aria-invalid='false' aria-required=true><\/label><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=checkbox_eaed996c83af4311f9bc135f71fee2df><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"I hereby declare that the information furnished above is true to the best of my knowledge and belief. I understand that any false information may lead to disqualification.\"  id='checkbox_eaed996c83af4311f9bc135f71fee2df' aria-label='I hereby declare that the information furnished above is true to the best of my knowledge and belief. I understand that any false information may lead to disqualification.' aria-invalid='false' aria-required=true> <span>I hereby declare that the information furnished above is true to the best of my knowledge and belief. I understand that any false information may lead to disqualification.<\/span><\/label><\/div><\/div><\/div><div data-name=\"ff_cn_id_24\"  class='ff-t-container ff-column-container ff_columns_total_2  '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_image-upload_1_1' aria-label=\"Signature of the Applicant: (Digital or Handwritten)\"> Signature of the Applicant: (Digital or Handwritten)<\/label><\/div><div class='ff-el-input--content'><label for='ff_15_image-upload_1_1' class='ff_file_upload_holder'><span class='ff_upload_btn ff-btn' tabindex='0'>Choose File<\/span> <input type=\"file\" name=\"image-upload_1\" id=\"ff_15_image-upload_1_1\" class=\"ff-el-form-control  ff-screen-reader-element\" accept=\"image\/*\" data-name=\"image-upload_1\" multiple=\"1\"  aria-invalid='false' aria-required=true><\/label><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_15_datetime_2' aria-label=\"Date of Declaration: (DD\/MM\/YYYY)\">Date of Declaration: (DD\/MM\/YYYY)<\/label><\/div><div class='ff-el-input--content'><input  aria-label='Date of Declaration: (DD\/MM\/YYYY) Use arrow keys to navigate dates. Press enter to select a date.'  aria-haspopup='dialog' data-type-datepicker data-format='d\/m\/Y' type=\"text\" name=\"datetime_2\" id=\"ff_15_datetime_2\" class=\"ff-el-form-control ff-el-datepicker only-today\" data-name=\"datetime_2\"  aria-invalid='false' aria-required=true><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=checkbox_1_afea7da76ee2f8708018d9c0bf96ac53><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"I confirm that I have read all the instructions and guidelines for the application and agree to abide by them.\"  id='checkbox_1_afea7da76ee2f8708018d9c0bf96ac53' aria-label='I confirm that I have read all the instructions and guidelines for the application and agree to abide by them.' aria-invalid='false' aria-required=true> <span>I confirm that I have read all the instructions and guidelines for the application and agree to abide by them.<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-15_10\" ><p><strong>Important Notes:<\/strong><\/p>\n<p>- Candidates should provide accurate and consistent information across all sections, especially in the case of NRI and Foreign candidates.<\/p>\n<p>- Ensure that document uploads meet the specified formats and size limits as instructed on the Vydehi website.<\/p><\/div><div class='ff-el-group ff-text-left ff_submit_btn_wrapper'><button type=\"submit\" class=\"ff-btn ff-btn-submit ff-btn-md ff_btn_style\" >Submit<\/button><\/div><\/fieldset><\/form><div id='fluentform_15_errors' class='ff-errors-in-stack ff_form_instance_15_1 ff-form-loading_errors ff_form_instance_15_1_errors'><\/div><\/div>            <script type=\"text\/javascript\">\n                window.fluent_form_ff_form_instance_15_1 = {\"id\":\"15\",\"settings\":{\"layout\":{\"labelPlacement\":\"top\",\"helpMessagePlacement\":\"with_label\",\"errorMessagePlacement\":\"inline\",\"cssClassName\":\"\",\"asteriskPlacement\":\"asterisk-right\"},\"restrictions\":{\"denyEmptySubmission\":{\"enabled\":false}}},\"form_instance\":\"ff_form_instance_15_1\",\"form_id_selector\":\"fluentform_15\",\"rules\":{\"student_name\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global_message\":\"This field is required\",\"global\":true}},\"names_1[first_name]\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global_message\":\"This field is required\",\"global\":true}},\"names_1[middle_name]\":{\"required\":{\"value\":false,\"message\":\"This field is required\",\"global_message\":\"This field is required\",\"global\":true}},\"names_1[last_name]\":{\"required\":{\"value\":false,\"message\":\"This field is required\",\"global_message\":\"This field is 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