{"id":6,"date":"2021-04-08T10:16:32","date_gmt":"2021-04-08T10:16:32","guid":{"rendered":"https:\/\/jmstrust.com\/enrolment\/?page_id=6"},"modified":"2026-09-08T07:35:07","modified_gmt":"2026-09-08T07:35:07","slug":"scholarship-scheme-application-form","status":"publish","type":"page","link":"https:\/\/jmstrust.com\/enrolment\/","title":{"rendered":"Scholarship Scheme Application Form"},"content":{"rendered":"<body>\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"6\" class=\"elementor elementor-6\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-46db7553 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"46db7553\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-1c61c8ad\" data-id=\"1c61c8ad\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;gradient&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8bb2f9a elementor-widget elementor-widget-text-editor\" data-id=\"8bb2f9a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h4><strong>\u00a0 \u00a0Note :\u00a0 INSTRUCTION :-<\/strong><\/h4>\n<ul>\n<li style=\"font-size: 18px;\">Do not Fillip application form repeatedly.<\/li>\n<li style=\"font-size: 18px;\">Form Should be Fill up in English letters only (Do not use any regional language).<\/li>\n<li style=\"font-size: 18px;\">Scholarship scheme is not applicable for candidates preparing for competitive exams.<\/li>\n<\/ul>\n<p style=\"font-size: 20px;\"><b>Date for<\/b> <b style=\"color: red;\">Submission<\/b> <b>of Application form<\/b> \u2013 April to July; <b>Date Of<\/b> <b style=\"color: red;\">Selection<\/b> <b>of Candidate<\/b> \u2013 August and <b>Date of <\/b> <b style=\"color: red;\">Disbursement<\/b><b> of Scholarship<\/b> \u2013 September <b>OR<\/b> within the month prior to the next quarter<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1ad734c1 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"1ad734c1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p class=\"wp-block-contact-form-7-contact-form-selector\" style=\"text-align: left;\">\n<\/p><div class=\"wpcf7 no-js\" id=\"wpcf7-f5-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"5\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/enrolment\/wp-json\/wp\/v2\/pages\/6#wpcf7-f5-o1\" method=\"post\" class=\"wpcf7-form init wpcf7-acceptance-as-validation\" aria-label=\"Contact form\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"5\"><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.7\"><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\"><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f5-o1\"><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\"><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\">\n<\/fieldset>\n<!----<h4>Merit Scholarship Scheme Application Form <\/h4>---->\n\n\n<!---<fieldset>\n\n\n<legend>Personal Information<\/legend>-->\n<p style=\"color: red\" ;>* Required Mandatory\n<\/p>\n<p><label> GENERAL INFORMATION (Category applied for Pl. Tick ) Please refer to the scheme<br>\n<\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"Info\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"Info\" value=\"A\" checked><span class=\"wpcf7-list-item-label\">A<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"Info\" value=\"B\"><span class=\"wpcf7-list-item-label\">B<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"Info\" value=\"C\"><span class=\"wpcf7-list-item-label\">C<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"Info\" value=\"D\"><span class=\"wpcf7-list-item-label\">D<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"Info\" value=\"P\"><span class=\"wpcf7-list-item-label\">P<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"Info\" value=\"O\"><span class=\"wpcf7-list-item-label\">O<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label><b> 1.Your name\n\t\t\t<split style=\"color: red\" ;>*\n\t\t\t<\/split><br>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"50\" minlength=\"9\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name\"><\/span><\/b> <\/label>\n<\/p>\n<p><label> <b>2. Upload Your Passport Size Photo (Size: 1mb) <\/b>\n\t\t<split style=\"color: red\" ;>*\n\t\t<\/split><br>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Profile\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-drag-n-drop-file d-none\" aria-required=\"true\" aria-invalid=\"false\" type=\"file\" multiple data-name=\"Profile\" data-type=\"jpg|jpeg|png|gif|xcel|word|pdf\" data-limit=\"10097152\" data-min=\"1\" data-max=\"10\" data-id=\"5\" data-version=\"free version 1.4.0\" accept=\".jpg, .jpeg, .png, .gif, .xcel, .word, .pdf\"><\/span><br>\n<\/label>\n<\/p>\n<p><label> <b>3.Son\/ Daughter of\n\t\t\t<split style=\"color: red\" ;>*\n\t\t\t<\/split><br>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"SonDaughterof\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"SonDaughterof\"><\/span> <\/b><br>\n<\/label>\n<\/p>\n<p><label> <b>4.Date of birth :<\/b>\n\t\t<split style=\"color: red\" ;>*\n\t\t<\/split><br>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Dateofbirth\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" min=\"1976-10-09\" max=\"2036-09-09\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"Dateofbirth\"><\/span><\/label>\n<\/p>\n<p><label> <b> 5.Mobile No:\n\t\t\t<split style=\"color: red\" ;>*\n\t\t\t<\/split><br>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"MobileNo\"><input size=\"40\" maxlength=\"10\" minlength=\"9\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"MobileNo\"><\/span> <\/b><br>\n<\/label>\n<\/p>\n<p><label> <b> 6.e-mail id:\n\t\t\t<split style=\"color: red\" ;>*\n\t\t\t<\/split><br>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"email-460\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email-460\"><\/span> <\/b><br>\n<\/label><br>\n<label> <b>7.Postal Address of the Applicant\n\t\t\t<split style=\"color: red\" ;>*\n\t\t\t<\/split> :<\/b><br>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"PostalAdress\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"PostalAdress\"><\/span><\/label>\n<\/p>\n<p><label> <b>8.Pincode <\/b>\n\t\t<split style=\"color: red\" ;>*\n\t\t<\/split><br>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Pincode\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Pincode\"><\/span><\/label>\n<\/p>\n<p><label> <b>9.Tel. No. (with STD Code)<\/b><br>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"tel-StdCode\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"tel-StdCode\"><\/span><\/label>\n<\/p>\n<p><label> <b>10.Select your States <\/b>\n\t\t<split style=\"color: red\" ;>*\n\t\t<\/split><br>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Residential_States\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"Residential_States\"><option value=\"\">\u2014Please choose an option\u2014<\/option><option value=\"Select One\">Select One<\/option><option value=\"Andaman and Nicobar Islands (union territory)\">Andaman and Nicobar Islands (union territory)<\/option><option value=\"Andhra Pradesh\">Andhra Pradesh<\/option><option value=\"Arunachal Pradesh\">Arunachal Pradesh<\/option><option value=\"Assam\">Assam<\/option><option value=\"Bihar\">Bihar<\/option><option value=\"Chandigarh (union territory)\">Chandigarh (union territory)<\/option><option value=\"Chhattisgarh\">Chhattisgarh<\/option><option value=\"Dadra and Nagar Haveli (union territory)\">Dadra and Nagar Haveli (union territory)<\/option><option value=\"Daman and Diu (union territory)\">Daman and Diu (union territory)<\/option><option value=\"Delhi (national capital territory)\">Delhi (national capital territory)<\/option><option value=\"Goa\">Goa<\/option><option value=\"Gujarat\">Gujarat<\/option><option value=\"Haryana\">Haryana<\/option><option value=\"Himachal Pradesh\">Himachal Pradesh<\/option><option value=\"Jammu and Kashmir (union territory)\">Jammu and Kashmir (union territory)<\/option><option value=\"Jharkhand\">Jharkhand<\/option><option value=\"Karnataka\">Karnataka<\/option><option value=\"Kerala\">Kerala<\/option><option value=\"Ladakh (union territory)\">Ladakh (union territory)<\/option><option value=\"Madhya Pradesh\">Madhya Pradesh<\/option><option value=\"Maharashtra\">Maharashtra<\/option><option value=\"Manipur\">Manipur<\/option><option value=\"Meghalaya\">Meghalaya<\/option><option value=\"Mizoram\">Mizoram<\/option><option value=\"Nagaland\">Nagaland<\/option><option value=\"Odisha\">Odisha<\/option><option value=\"Puducherry (union territory)\">Puducherry (union territory)<\/option><option value=\"Punjab\">Punjab<\/option><option value=\"Rajasthan\">Rajasthan<\/option><option value=\"Sikkim\">Sikkim<\/option><option value=\"Tamil Nadu\">Tamil Nadu<\/option><option value=\"Telangana\">Telangana<\/option><option value=\"Tripura\">Tripura<\/option><option value=\"Uttar Pradesh\">Uttar Pradesh<\/option><option value=\"Uttarakhand\">Uttarakhand<\/option><option value=\"West Bengal\">West Bengal<\/option><\/select><\/span><\/label>\n<\/p>\n<p><label> <b> 11.Select your City <\/b>\n\t\t<split style=\"color: red\" ;>*\n\t\t<\/split><br>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Residential_City\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"Residential_City\"><option value=\"\">\u2014Please choose an option\u2014<\/option><option value=\"Select One\">Select One<\/option><option value=\"Port Blair\">Port Blair<\/option><option value=\"Adoni\">Adoni<\/option><option value=\"Amaravati\">Amaravati<\/option><option value=\"Anantapur\">Anantapur<\/option><option value=\"Chandragiri\">Chandragiri<\/option><option value=\"Chittoor\">Chittoor<\/option><option value=\"Dowlaiswaram\">Dowlaiswaram<\/option><option value=\"Eluru\">Eluru<\/option><option value=\"Guntur\">Guntur<\/option><option value=\"Kadapa\">Kadapa<\/option><option value=\"Kakinada\">Kakinada<\/option><option value=\"Kurnool\">Kurnool<\/option><option value=\"Machilipatnam\">Machilipatnam<\/option><option value=\"Nagarjunako\u1e47\u1e0da\">Nagarjunako\u1e47\u1e0da<\/option><option value=\"Rajahmundry\">Rajahmundry<\/option><option value=\"Srikakulam\">Srikakulam<\/option><option value=\"Tirupati\">Tirupati<\/option><option value=\"Vijayawada\">Vijayawada<\/option><option value=\"Visakhapatnam\">Visakhapatnam<\/option><option value=\"Vizianagaram\">Vizianagaram<\/option><option value=\"Yemmiganur\">Yemmiganur<\/option><option value=\"Itanagar\">Itanagar<\/option><option value=\"Adoni\">Adoni<\/option><option value=\"Amaravati\">Amaravati<\/option><option value=\"Anantapur\">Anantapur<\/option><option value=\"Chandragiri\">Chandragiri<\/option><option value=\"Chittoor\">Chittoor<\/option><option value=\"Dowlaiswaram\">Dowlaiswaram<\/option><option value=\"Eluru\">Eluru<\/option><option value=\"Guntur\">Guntur<\/option><option value=\"Kadapa\">Kadapa<\/option><option value=\"Kakinada\">Kakinada<\/option><option value=\"Kurnool\">Kurnool<\/option><option value=\"Machilipatnam\">Machilipatnam<\/option><option value=\"Nagarjunako\u1e47\u1e0da\">Nagarjunako\u1e47\u1e0da<\/option><option value=\"Rajahmundry\">Rajahmundry<\/option><option value=\"Srikakulam\">Srikakulam<\/option><option value=\"Tirupati\">Tirupati<\/option><option value=\"Vijayawada\">Vijayawada<\/option><option value=\"Visakhapatnam\">Visakhapatnam<\/option><option value=\"Vizianagaram\">Vizianagaram<\/option><option value=\"Yemmiganur\">Yemmiganur<\/option><option value=\"Itanagar\">Itanagar<\/option><option value=\"Dhuburi\">Dhuburi<\/option><option value=\"Dibrugarh\">Dibrugarh<\/option><option value=\"Dispur\">Dispur<\/option><option value=\"Guwahati\">Guwahati<\/option><option value=\"Jorhat\">Jorhat<\/option><option value=\"Nagaon\">Nagaon<\/option><option value=\"Sibsagar\">Sibsagar<\/option><option value=\"Silchar\">Silchar<\/option><option value=\"Tezpur\">Tezpur<\/option><option value=\"Tinsukia\">Tinsukia<\/option><option value=\"Ara\">Ara<\/option><option value=\"Baruni\">Baruni<\/option><option value=\"Begusarai\">Begusarai<\/option><option value=\"Bettiah\">Bettiah<\/option><option value=\"Bhagalpur\">Bhagalpur<\/option><option value=\"Bihar Sharif\">Bihar Sharif<\/option><option value=\"Bodh Gaya\">Bodh Gaya<\/option><option value=\"Buxar\">Buxar<\/option><option value=\"Chapra\">Chapra<\/option><option value=\"Darbhanga\">Darbhanga<\/option><option value=\"Dehri\">Dehri<\/option><option value=\"Dinapur Nizamat\">Dinapur Nizamat<\/option><option value=\"Gaya\">Gaya<\/option><option value=\"Hajipur\">Hajipur<\/option><option value=\"Jamalpur\">Jamalpur<\/option><option value=\"Katihar\">Katihar<\/option><option value=\"Madhubani\">Madhubani<\/option><option value=\"Motihari\">Motihari<\/option><option value=\"Munger\">Munger<\/option><option value=\"Muzaffarpur\">Muzaffarpur<\/option><option value=\"Patna\">Patna<\/option><option value=\"Purnia\">Purnia<\/option><option value=\"Pusa\">Pusa<\/option><option value=\"Saharsa\">Saharsa<\/option><option value=\"Samastipur\">Samastipur<\/option><option value=\"Sasaram\">Sasaram<\/option><option value=\"Sitamarhi\">Sitamarhi<\/option><option value=\"Siwan\">Siwan<\/option><option value=\"\"><\/option><option value=\"Ambikapur\">Ambikapur<\/option><option value=\"Bhilai\">Bhilai<\/option><option value=\"Bilaspur\">Bilaspur<\/option><option value=\"Dhamtari\">Dhamtari<\/option><option value=\"Durg\">Durg<\/option><option value=\"Jagdalpur\">Jagdalpur<\/option><option value=\"Raipur\">Raipur<\/option><option value=\"Rajnandgaon\">Rajnandgaon<\/option><option value=\"Silvassa\">Silvassa<\/option><option value=\"Daman\">Daman<\/option><option value=\"Diu\">Diu<\/option><option value=\"Delhi\">Delhi<\/option><option value=\"New Delhi\">New Delhi<\/option><option value=\"Madgaon\">Madgaon<\/option><option value=\"Panaji\">Panaji<\/option><option value=\"Ahmadabad\">Ahmadabad<\/option><option value=\"Amreli\">Amreli<\/option><option value=\"Bharuch\">Bharuch<\/option><option value=\"Bhavnagar\">Bhavnagar<\/option><option value=\"Bhuj\">Bhuj<\/option><option value=\"Dwarka\">Dwarka<\/option><option value=\"Gandhinagar\">Gandhinagar<\/option><option value=\"Godhra\">Godhra<\/option><option value=\"Jamnagar\">Jamnagar<\/option><option value=\"Junagadh\">Junagadh<\/option><option value=\"Kandla\">Kandla<\/option><option value=\"Khambhat\">Khambhat<\/option><option value=\"Kheda\">Kheda<\/option><option value=\"Mahesana\">Mahesana<\/option><option value=\"Morvi\">Morvi<\/option><option value=\"Nadiad\">Nadiad<\/option><option value=\"Navsari\">Navsari<\/option><option value=\"Okha\">Okha<\/option><option value=\"Palanpur\">Palanpur<\/option><option value=\"Patan\">Patan<\/option><option value=\"Porbandar\">Porbandar<\/option><option value=\"Rajkot\">Rajkot<\/option><option value=\"Surat\">Surat<\/option><option value=\"Surendranagar\">Surendranagar<\/option><option value=\"Valsad\">Valsad<\/option><option value=\"Veraval\">Veraval<\/option><option value=\"Ambala\">Ambala<\/option><option value=\"Bhiwani\">Bhiwani<\/option><option value=\"Chandigarh\">Chandigarh<\/option><option value=\"Faridabad\">Faridabad<\/option><option value=\"Firozpur Jhirka\">Firozpur Jhirka<\/option><option value=\"Gurgaon\">Gurgaon<\/option><option value=\"Hansi\">Hansi<\/option><option value=\"Hisar\">Hisar<\/option><option value=\"Jind\">Jind<\/option><option value=\"Kaithal\">Kaithal<\/option><option value=\"Karnal\">Karnal<\/option><option value=\"Kurukshetra\">Kurukshetra<\/option><option value=\"Panipat\">Panipat<\/option><option value=\"Pehowa\">Pehowa<\/option><option value=\"Rewari\">Rewari<\/option><option value=\"Rohtak\">Rohtak<\/option><option value=\"Sirsa\">Sirsa<\/option><option value=\"Sonipat\">Sonipat<\/option><option value=\"Bilaspur\">Bilaspur<\/option><option value=\"Chamba\">Chamba<\/option><option value=\"Dalhousie\">Dalhousie<\/option><option value=\"Dharmshala\">Dharmshala<\/option><option value=\"Hamirpur\">Hamirpur<\/option><option value=\"Kangra\">Kangra<\/option><option value=\"Kullu\">Kullu<\/option><option value=\"Mandi\">Mandi<\/option><option value=\"Nahan\">Nahan<\/option><option value=\"Shimla\">Shimla<\/option><option value=\"Una\">Una<\/option><option value=\"Anantnag\">Anantnag<\/option><option value=\"Baramula\">Baramula<\/option><option value=\"Doda\">Doda<\/option><option value=\"Gulmarg\">Gulmarg<\/option><option value=\"Jammu\">Jammu<\/option><option value=\"Kathua\">Kathua<\/option><option value=\"Punch\">Punch<\/option><option value=\"Rajauri\">Rajauri<\/option><option value=\"Srinagar\">Srinagar<\/option><option value=\"Udhampur\">Udhampur<\/option><option value=\"Bokaro\">Bokaro<\/option><option value=\"Chaibasa\">Chaibasa<\/option><option value=\"Deoghar\">Deoghar<\/option><option value=\"Dhanbad\">Dhanbad<\/option><option value=\"Dumka\">Dumka<\/option><option value=\"Giridih\">Giridih<\/option><option value=\"Hazaribag\">Hazaribag<\/option><option value=\"Jamshedpur\">Jamshedpur<\/option><option value=\"Jharia\">Jharia<\/option><option value=\"Rajmahal\">Rajmahal<\/option><option value=\"Ranchi\">Ranchi<\/option><option value=\"Saraikela\">Saraikela<\/option><option value=\"Badami\">Badami<\/option><option value=\"Ballari\">Ballari<\/option><option value=\"Bangalore\">Bangalore<\/option><option value=\"Belgavi\">Belgavi<\/option><option value=\"Bhadravati\">Bhadravati<\/option><option value=\"Bidar\">Bidar<\/option><option value=\"Chikkamagaluru\">Chikkamagaluru<\/option><option value=\"Chitradurga\">Chitradurga<\/option><option value=\"Davangere\">Davangere<\/option><option value=\"Halebid\">Halebid<\/option><option value=\"Hassan\">Hassan<\/option><option value=\"Hubballi-Dharwad\">Hubballi-Dharwad<\/option><option value=\"Kalaburagi\">Kalaburagi<\/option><option value=\"Kolar\">Kolar<\/option><option value=\"Madikeri\">Madikeri<\/option><option value=\"Mandya\">Mandya<\/option><option value=\"Mangaluru\">Mangaluru<\/option><option value=\"Mysuru\">Mysuru<\/option><option value=\"Raichur\">Raichur<\/option><option value=\"Shivamogga\">Shivamogga<\/option><option value=\"Shravanabelagola\">Shravanabelagola<\/option><option value=\"Shrirangapattana\">Shrirangapattana<\/option><option value=\"Tumkuru\">Tumkuru<\/option><option value=\"Alappuzha\">Alappuzha<\/option><option value=\"Badagara\">Badagara<\/option><option value=\"Idukki\">Idukki<\/option><option value=\"Kannur\">Kannur<\/option><option value=\"Kochi\">Kochi<\/option><option value=\"Kollam\">Kollam<\/option><option value=\"Kottayam\">Kottayam<\/option><option value=\"Kozhikode\">Kozhikode<\/option><option value=\"Mattancheri\">Mattancheri<\/option><option value=\"Palakkad\">Palakkad<\/option><option value=\"Thalassery\">Thalassery<\/option><option value=\"Thiruvananthapuram\">Thiruvananthapuram<\/option><option value=\"Thrissur\">Thrissur<\/option><option value=\"Balaghat\">Balaghat<\/option><option value=\"Barwani\">Barwani<\/option><option value=\"Betul\">Betul<\/option><option value=\"Bharhut\">Bharhut<\/option><option value=\"Bhind\">Bhind<\/option><option value=\"Bhojpur\">Bhojpur<\/option><option value=\"Bhopal\">Bhopal<\/option><option value=\"Burhanpur\">Burhanpur<\/option><option value=\"Chhatarpur\">Chhatarpur<\/option><option value=\"Chhindwara\">Chhindwara<\/option><option value=\"Damoh\">Damoh<\/option><option value=\"Datia\">Datia<\/option><option value=\"Dewas\">Dewas<\/option><option value=\"Dhar\">Dhar<\/option><option value=\"Guna\">Guna<\/option><option value=\"Gwalior\">Gwalior<\/option><option value=\"Hoshangabad\">Hoshangabad<\/option><option value=\"Indore\">Indore<\/option><option value=\"Itarsi\">Itarsi<\/option><option value=\"Jabalpur\">Jabalpur<\/option><option value=\"Jhabua\">Jhabua<\/option><option value=\"Khajuraho\">Khajuraho<\/option><option value=\"Khandwa\">Khandwa<\/option><option value=\"Khargon\">Khargon<\/option><option value=\"Maheshwar\">Maheshwar<\/option><option value=\"Mandla\">Mandla<\/option><option value=\"Mandsaur\">Mandsaur<\/option><option value=\"Mhow\">Mhow<\/option><option value=\"Morena\">Morena<\/option><option value=\"Murwara\">Murwara<\/option><option value=\"Narsimhapur\">Narsimhapur<\/option><option value=\"Narsinghgarh\">Narsinghgarh<\/option><option value=\"Narwar\">Narwar<\/option><option value=\"Neemuch\">Neemuch<\/option><option value=\"Nowgong\">Nowgong<\/option><option value=\"Orchha\">Orchha<\/option><option value=\"Panna\">Panna<\/option><option value=\"Raisen\">Raisen<\/option><option value=\"Rajgarh\">Rajgarh<\/option><option value=\"Ratlam\">Ratlam<\/option><option value=\"Rewa\">Rewa<\/option><option value=\"Sagar\">Sagar<\/option><option value=\"Sarangpur\">Sarangpur<\/option><option value=\"Satna\">Satna<\/option><option value=\"Sehore\">Sehore<\/option><option value=\"Seoni\">Seoni<\/option><option value=\"Shahdol\">Shahdol<\/option><option value=\"Shajapur\">Shajapur<\/option><option value=\"Sheopur\">Sheopur<\/option><option value=\"Shivpuri\">Shivpuri<\/option><option value=\"Ujjain\">Ujjain<\/option><option value=\"Vidisha\">Vidisha<\/option><option value=\"Ahmadnagar\">Ahmadnagar<\/option><option value=\"Akola\">Akola<\/option><option value=\"Amravati\">Amravati<\/option><option value=\"Aurangabad\">Aurangabad<\/option><option value=\"Bhandara\">Bhandara<\/option><option value=\"Bhusawal\">Bhusawal<\/option><option value=\"Bid\">Bid<\/option><option value=\"Buldana\">Buldana<\/option><option value=\"Chandrapur\">Chandrapur<\/option><option value=\"Daulatabad\">Daulatabad<\/option><option value=\"Dhule\">Dhule<\/option><option value=\"Jalgaon\">Jalgaon<\/option><option value=\"Kalyan\">Kalyan<\/option><option value=\"Karli\">Karli<\/option><option value=\"Kolhapur\">Kolhapur<\/option><option value=\"Mahabaleshwar\">Mahabaleshwar<\/option><option value=\"Malegaon\">Malegaon<\/option><option value=\"Matheran\">Matheran<\/option><option value=\"Mumbai\">Mumbai<\/option><option value=\"Nagpur\">Nagpur<\/option><option value=\"Nanded\">Nanded<\/option><option value=\"Nashik\">Nashik<\/option><option value=\"Osmanabad\">Osmanabad<\/option><option value=\"Pandharpur\">Pandharpur<\/option><option value=\"Parbhani\">Parbhani<\/option><option value=\"Pune\">Pune<\/option><option value=\"Ratnagiri\">Ratnagiri<\/option><option value=\"Sangli\">Sangli<\/option><option value=\"Satara\">Satara<\/option><option value=\"Sevagram\">Sevagram<\/option><option value=\"Solapur\">Solapur<\/option><option value=\"Thane\">Thane<\/option><option value=\"Ulhasnagar\">Ulhasnagar<\/option><option value=\"Vasai-Virar\">Vasai-Virar<\/option><option value=\"Wardha\">Wardha<\/option><option value=\"Yavatmal\">Yavatmal<\/option><option value=\"Imphal\">Imphal<\/option><option value=\"Cherrapunji\">Cherrapunji<\/option><option value=\"Shillong\">Shillong<\/option><option value=\"Aizawl\">Aizawl<\/option><option value=\"Lunglei\">Lunglei<\/option><option value=\"Kohima\">Kohima<\/option><option value=\"Mon\">Mon<\/option><option value=\"Phek\">Phek<\/option><option value=\"Wokha\">Wokha<\/option><option value=\"Zunheboto\">Zunheboto<\/option><option value=\"Balangir\">Balangir<\/option><option value=\"Baleshwar\">Baleshwar<\/option><option value=\"Baripada\">Baripada<\/option><option value=\"Bhubaneshwar\">Bhubaneshwar<\/option><option value=\"Brahmapur\">Brahmapur<\/option><option value=\"Cuttack\">Cuttack<\/option><option value=\"Dhenkanal\">Dhenkanal<\/option><option value=\"Keonjhar\">Keonjhar<\/option><option value=\"Konark\">Konark<\/option><option value=\"Koraput\">Koraput<\/option><option value=\"Paradip\">Paradip<\/option><option value=\"Phulabani\">Phulabani<\/option><option value=\"Puri\">Puri<\/option><option value=\"Sambalpur\">Sambalpur<\/option><option value=\"Udayagiri\">Udayagiri<\/option><option value=\"Karaikal\">Karaikal<\/option><option value=\"Mahe\">Mahe<\/option><option value=\"Puducherry\">Puducherry<\/option><option value=\"Yanam\">Yanam<\/option><option value=\"Amritsar\">Amritsar<\/option><option value=\"Batala\">Batala<\/option><option value=\"Chandigarh\">Chandigarh<\/option><option value=\"Faridkot\">Faridkot<\/option><option value=\"Firozpur\">Firozpur<\/option><option value=\"Gurdaspur\">Gurdaspur<\/option><option value=\"Hoshiarpur\">Hoshiarpur<\/option><option value=\"Jalandhar\">Jalandhar<\/option><option value=\"Kapurthala\">Kapurthala<\/option><option value=\"Ludhiana\">Ludhiana<\/option><option value=\"Nabha\">Nabha<\/option><option value=\"Patiala\">Patiala<\/option><option value=\"Rupnagar\">Rupnagar<\/option><option value=\"Sangrur\">Sangrur<\/option><option value=\"Abu\">Abu<\/option><option value=\"Ajmer\">Ajmer<\/option><option value=\"Alwar\">Alwar<\/option><option value=\"Amer\">Amer<\/option><option value=\"Barmer\">Barmer<\/option><option value=\"Beawar\">Beawar<\/option><option value=\"Bharatpur\">Bharatpur<\/option><option value=\"Bhilwara\">Bhilwara<\/option><option value=\"Bikaner\">Bikaner<\/option><option value=\"Bundi\">Bundi<\/option><option value=\"Chittaurgarh\">Chittaurgarh<\/option><option value=\"Churu\">Churu<\/option><option value=\"Dhaulpur\">Dhaulpur<\/option><option value=\"Dungarpur\">Dungarpur<\/option><option value=\"Ganganagar\">Ganganagar<\/option><option value=\"Hanumangarh\">Hanumangarh<\/option><option value=\"Jaipur\">Jaipur<\/option><option value=\"Jaisalmer\">Jaisalmer<\/option><option value=\"Jalor\">Jalor<\/option><option value=\"Jhalawar\">Jhalawar<\/option><option value=\"Jhunjhunu\">Jhunjhunu<\/option><option value=\"Jodhpur\">Jodhpur<\/option><option value=\"Kishangarh\">Kishangarh<\/option><option value=\"Kota\">Kota<\/option><option value=\"Merta\">Merta<\/option><option value=\"Nagaur\">Nagaur<\/option><option value=\"Nathdwara\">Nathdwara<\/option><option value=\"Pali\">Pali<\/option><option value=\"Phalodi\">Phalodi<\/option><option value=\"Pushkar\">Pushkar<\/option><option value=\"Sawai Madhopur\">Sawai Madhopur<\/option><option value=\"Shahpura\">Shahpura<\/option><option value=\"Sikar\">Sikar<\/option><option value=\"Sirohi\">Sirohi<\/option><option value=\"Tonk\">Tonk<\/option><option value=\"Udaipur\">Udaipur<\/option><option value=\"Gangtok\">Gangtok<\/option><option value=\"Gyalsing\">Gyalsing<\/option><option value=\"Lachung\">Lachung<\/option><option value=\"Mangan\">Mangan<\/option><option value=\"Arcot\">Arcot<\/option><option value=\"Chengalpattu\">Chengalpattu<\/option><option value=\"Chennai\">Chennai<\/option><option value=\"Chidambaram\">Chidambaram<\/option><option value=\"Coimbatore\">Coimbatore<\/option><option value=\"Cuddalore\">Cuddalore<\/option><option value=\"Dharmapuri\">Dharmapuri<\/option><option value=\"Dindigul\">Dindigul<\/option><option value=\"Erode\">Erode<\/option><option value=\"Kanchipuram\">Kanchipuram<\/option><option value=\"Kanniyakumari\">Kanniyakumari<\/option><option value=\"Kodaikanal\">Kodaikanal<\/option><option value=\"Kumbakonam\">Kumbakonam<\/option><option value=\"Madurai\">Madurai<\/option><option value=\"Mamallapuram\">Mamallapuram<\/option><option value=\"Nagappattinam\">Nagappattinam<\/option><option value=\"Nagercoil\">Nagercoil<\/option><option value=\"Palayankottai\">Palayankottai<\/option><option value=\"Pudukkottai\">Pudukkottai<\/option><option value=\"Rajapalaiyam\">Rajapalaiyam<\/option><option value=\"Ramanathapuram\">Ramanathapuram<\/option><option value=\"Salem\">Salem<\/option><option value=\"Thanjavur\">Thanjavur<\/option><option value=\"Tiruchchirappalli\">Tiruchchirappalli<\/option><option value=\"Tirunelveli\">Tirunelveli<\/option><option value=\"Tiruppur\">Tiruppur<\/option><option value=\"Tuticorin\">Tuticorin<\/option><option value=\"Udhagamandalam\">Udhagamandalam<\/option><option value=\"Vellore\">Vellore<\/option><option value=\"Hyderabad\">Hyderabad<\/option><option value=\"Karimnagar\">Karimnagar<\/option><option value=\"Khammam\">Khammam<\/option><option value=\"Mahbubnagar\">Mahbubnagar<\/option><option value=\"Nizamabad\">Nizamabad<\/option><option value=\"Sangareddi\">Sangareddi<\/option><option value=\"Warangal\">Warangal<\/option><option value=\"Agartala\">Agartala<\/option><option value=\"Agra\">Agra<\/option><option value=\"Aligarh\">Aligarh<\/option><option value=\"Amroha\">Amroha<\/option><option value=\"Ayodhya\">Ayodhya<\/option><option value=\"Azamgarh\">Azamgarh<\/option><option value=\"Bahraich\">Bahraich<\/option><option value=\"Ballia\">Ballia<\/option><option value=\"Banda\">Banda<\/option><option value=\"Bara Banki\">Bara Banki<\/option><option value=\"Bareilly\">Bareilly<\/option><option value=\"Basti\">Basti<\/option><option value=\"Bijnor\">Bijnor<\/option><option value=\"Bithur\">Bithur<\/option><option value=\"Budaun\">Budaun<\/option><option value=\"Bulandshahr\">Bulandshahr<\/option><option value=\"Deoria\">Deoria<\/option><option value=\"Etah\">Etah<\/option><option value=\"Etawah\">Etawah<\/option><option value=\"Faizabad\">Faizabad<\/option><option value=\"Farrukhabad-cum-Fatehgarh\">Farrukhabad-cum-Fatehgarh<\/option><option value=\"Fatehpur\">Fatehpur<\/option><option value=\"Fatehpur Sikri\">Fatehpur Sikri<\/option><option value=\"Ghaziabad\">Ghaziabad<\/option><option value=\"Ghazipur\">Ghazipur<\/option><option value=\"Gonda\">Gonda<\/option><option value=\"Gorakhpur\">Gorakhpur<\/option><option value=\"Hamirpur\">Hamirpur<\/option><option value=\"Hardoi\">Hardoi<\/option><option value=\"Hathras\">Hathras<\/option><option value=\"Jalaun\">Jalaun<\/option><option value=\"Jaunpur\">Jaunpur<\/option><option value=\"Jhansi\">Jhansi<\/option><option value=\"Kannauj\">Kannauj<\/option><option value=\"Kanpur\">Kanpur<\/option><option value=\"Lakhimpur\">Lakhimpur<\/option><option value=\"Lalitpur\">Lalitpur<\/option><option value=\"Lucknow\">Lucknow<\/option><option value=\"Mainpuri\">Mainpuri<\/option><option value=\"Mathura\">Mathura<\/option><option value=\"Meerut\">Meerut<\/option><option value=\"Mirzapur-Vindhyachal\">Mirzapur-Vindhyachal<\/option><option value=\"Moradabad\">Moradabad<\/option><option value=\"Muzaffarnagar\">Muzaffarnagar<\/option><option value=\"Partapgarh\">Partapgarh<\/option><option value=\"Pilibhit\">Pilibhit<\/option><option value=\"Prayagraj\">Prayagraj<\/option><option value=\"Rae Bareli\">Rae Bareli<\/option><option value=\"Rampur\">Rampur<\/option><option value=\"Saharanpur\">Saharanpur<\/option><option value=\"Sambhal\">Sambhal<\/option><option value=\"Shahjahanpur\">Shahjahanpur<\/option><option value=\"Sitapur\">Sitapur<\/option><option value=\"Sultanpur\">Sultanpur<\/option><option value=\"Tehri\">Tehri<\/option><option value=\"Varanasi\">Varanasi<\/option><option value=\"Almora\">Almora<\/option><option value=\"Dehra Dun\">Dehra Dun<\/option><option value=\"Haridwar\">Haridwar<\/option><option value=\"Mussoorie\">Mussoorie<\/option><option value=\"Nainital\">Nainital<\/option><option value=\"Pithoragarh\">Pithoragarh<\/option><option value=\"Alipore\">Alipore<\/option><option value=\"Alipur Duar\">Alipur Duar<\/option><option value=\"Asansol\">Asansol<\/option><option value=\"Baharampur\">Baharampur<\/option><option value=\"Bally\">Bally<\/option><option value=\"Balurghat\">Balurghat<\/option><option value=\"Bankura\">Bankura<\/option><option value=\"Baranagar\">Baranagar<\/option><option value=\"Barasat\">Barasat<\/option><option value=\"Barrackpore\">Barrackpore<\/option><option value=\"Basirhat\">Basirhat<\/option><option value=\"Bhatpara\">Bhatpara<\/option><option value=\"Bishnupur\">Bishnupur<\/option><option value=\"Budge Budge\">Budge Budge<\/option><option value=\"Burdwan\">Burdwan<\/option><option value=\"Chandernagore\">Chandernagore<\/option><option value=\"Darjiling\">Darjiling<\/option><option value=\"Diamond Harbour\">Diamond Harbour<\/option><option value=\"Dum Dum\">Dum Dum<\/option><option value=\"Durgapur\">Durgapur<\/option><option value=\"Halisahar\">Halisahar<\/option><option value=\"Haora\">Haora<\/option><option value=\"Hugli\">Hugli<\/option><option value=\"Ingraj Bazar\">Ingraj Bazar<\/option><option value=\"Jalpaiguri\">Jalpaiguri<\/option><option value=\"Kalimpong\">Kalimpong<\/option><option value=\"Kamarhati\">Kamarhati<\/option><option value=\"Kanchrapara\">Kanchrapara<\/option><option value=\"Kharagpur\">Kharagpur<\/option><option value=\"Koch Bihar\">Koch Bihar<\/option><option value=\"Kolkata\">Kolkata<\/option><option value=\"Krishnanagar\">Krishnanagar<\/option><option value=\"Malda\">Malda<\/option><option value=\"Midnapore\">Midnapore<\/option><option value=\"Murshidabad\">Murshidabad<\/option><option value=\"Navadwip\">Navadwip<\/option><option value=\"Palashi\">Palashi<\/option><option value=\"Panihati\">Panihati<\/option><option value=\"Purulia\">Purulia<\/option><option value=\"Raiganj\">Raiganj<\/option><option value=\"Santipur\">Santipur<\/option><option value=\"Shantiniketan\">Shantiniketan<\/option><option value=\"Shrirampur\">Shrirampur<\/option><option value=\"Siliguri\">Siliguri<\/option><option value=\"Siuri\">Siuri<\/option><option value=\"Tamluk\">Tamluk<\/option><option value=\"Titagarh\">Titagarh<\/option><option value=\"Others Cities\">Others Cities<\/option><\/select><\/span><\/label>\n<\/p>\n<p><label><b>11A. Mention City Name: (If Your City\/Town not in above list) <\/b><br>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-179mentioncity\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-179mentioncity\"><\/span><\/label>\n<\/p>\n<p><label><b>12. Select Your District\n\t\t\t<split style=\"color: red\" ;>*\n\t\t\t<\/split><\/b><br>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"District\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"District\"><option value=\"Select One\">Select One<\/option><option value=\"Nicobar\">Nicobar<\/option><option value=\"North Middle Andaman\">North Middle Andaman<\/option><option value=\"South Andaman\">South Andaman<\/option><option value=\"Anantapur\">Anantapur<\/option><option value=\"Chittoor\">Chittoor<\/option><option value=\"East Godavari\">East Godavari<\/option><option value=\"Alluri Sitarama Raju\">Alluri Sitarama Raju<\/option><option value=\"Anakapalli\">Anakapalli<\/option><option value=\"Annamaya\">Annamaya<\/option><option value=\"Bapatla\">Bapatla<\/option><option value=\"Eluru\">Eluru<\/option><option value=\"Guntur\">Guntur<\/option><option value=\"Kadapa\">Kadapa<\/option><option value=\"Kakinada\">Kakinada<\/option><option value=\"Konaseema\">Konaseema<\/option><option value=\"Krishna\">Krishna<\/option><option value=\"Kurnool\">Kurnool<\/option><option value=\"Manyam\">Manyam<\/option><option value=\"N T Rama Rao\">N T Rama Rao<\/option><option value=\"Nandyal\">Nandyal<\/option><option value=\"Nellore\">Nellore<\/option><option value=\"Palnadu\">Palnadu<\/option><option value=\"Prakasam\">Prakasam<\/option><option value=\"Sri Balaji\">Sri Balaji<\/option><option value=\"Sri Satya Sai\">Sri Satya Sai<\/option><option value=\"Srikakulam\">Srikakulam<\/option><option value=\"Visakhapatnam\">Visakhapatnam<\/option><option value=\"Vizianagaram\">Vizianagaram<\/option><option value=\"West Godavari\">West Godavari<\/option><option value=\"Anjaw\">Anjaw<\/option><option value=\"Central Siang\">Central Siang<\/option><option value=\"Changlang\">Changlang<\/option><option value=\"Dibang Valley\">Dibang Valley<\/option><option value=\"East Kameng\">East Kameng<\/option><option value=\"East Siang\">East Siang<\/option><option value=\"Kamle\">Kamle<\/option><option value=\"Kra Daadi\">Kra Daadi<\/option><option value=\"Kurung Kumey\">Kurung Kumey<\/option><option value=\"Lepa Rada\">Lepa Rada<\/option><option value=\"Lohit\">Lohit<\/option><option value=\"Longding\">Longding<\/option><option value=\"Lower Dibang Valley\">Lower Dibang Valley<\/option><option value=\"Lower Siang\">Lower Siang<\/option><option value=\"Lower Subansiri\">Lower Subansiri<\/option><option value=\"Namsai\">Namsai<\/option><option value=\"Pakke Kessang\">Pakke Kessang<\/option><option value=\"Papum Pare\">Papum Pare<\/option><option value=\"Shi Yomi\">Shi Yomi<\/option><option value=\"Tawang\">Tawang<\/option><option value=\"Tirap\">Tirap<\/option><option value=\"Upper Siang\">Upper Siang<\/option><option value=\"Upper Subansiri\">Upper Subansiri<\/option><option value=\"West Kameng\">West Kameng<\/option><option value=\"West Siang\">West Siang<\/option><option value=\"Bajali\">Bajali<\/option><option value=\"Baksa\">Baksa<\/option><option value=\"Barpeta\">Barpeta<\/option><option value=\"Biswanath\">Biswanath<\/option><option value=\"Bongaigaon\">Bongaigaon<\/option><option value=\"Cachar\">Cachar<\/option><option value=\"Charaideo\">Charaideo<\/option><option value=\"Chirang\">Chirang<\/option><option value=\"Darrang\">Darrang<\/option><option value=\"Dhemaji\">Dhemaji<\/option><option value=\"Dhubri\">Dhubri<\/option><option value=\"Dibrugarh\">Dibrugarh<\/option><option value=\"Dima Hasao\">Dima Hasao<\/option><option value=\"Goalpara\">Goalpara<\/option><option value=\"Golaghat\">Golaghat<\/option><option value=\"Hailakandi\">Hailakandi<\/option><option value=\"Hojai\">Hojai<\/option><option value=\"Jorhat\">Jorhat<\/option><option value=\"Kamrup\">Kamrup<\/option><option value=\"Kamrup Metropolitan\">Kamrup Metropolitan<\/option><option value=\"Karbi Anglong\">Karbi Anglong<\/option><option value=\"Karimganj\">Karimganj<\/option><option value=\"Kokrajhar\">Kokrajhar<\/option><option value=\"Lakhimpur\">Lakhimpur<\/option><option value=\"Majuli\">Majuli<\/option><option value=\"Morigaon\">Morigaon<\/option><option value=\"Nagaon\">Nagaon<\/option><option value=\"Nalbari\">Nalbari<\/option><option value=\"Sivasagar\">Sivasagar<\/option><option value=\"Sonitpur\">Sonitpur<\/option><option value=\"South Salmara-Mankachar\">South Salmara-Mankachar<\/option><option value=\"Tamulpur\">Tamulpur<\/option><option value=\"Tinsukia\">Tinsukia<\/option><option value=\"Udalguri\">Udalguri<\/option><option value=\"West Karbi Anglong\">West Karbi Anglong<\/option><option value=\"Araria\">Araria<\/option><option value=\"Arwal\">Arwal<\/option><option value=\"Aurangabad\">Aurangabad<\/option><option value=\"Banka\">Banka<\/option><option value=\"Begusarai\">Begusarai<\/option><option value=\"Bhagalpur\">Bhagalpur<\/option><option value=\"Bhojpur\">Bhojpur<\/option><option value=\"Buxar\">Buxar<\/option><option value=\"Darbhanga\">Darbhanga<\/option><option value=\"East Champaran\">East Champaran<\/option><option value=\"Gaya\">Gaya<\/option><option value=\"Gopalganj\">Gopalganj<\/option><option value=\"Jamui\">Jamui<\/option><option value=\"Jehanabad\">Jehanabad<\/option><option value=\"Kaimur\">Kaimur<\/option><option value=\"Katihar\">Katihar<\/option><option value=\"Khagaria\">Khagaria<\/option><option value=\"Kishanganj\">Kishanganj<\/option><option value=\"Lakhisarai\">Lakhisarai<\/option><option value=\"Madhepura\">Madhepura<\/option><option value=\"Madhubani\">Madhubani<\/option><option value=\"Munger\">Munger<\/option><option value=\"Muzaffarpur\">Muzaffarpur<\/option><option value=\"Nalanda\">Nalanda<\/option><option value=\"Nawada\">Nawada<\/option><option value=\"Patna\">Patna<\/option><option value=\"Purnia\">Purnia<\/option><option value=\"Rohtas\">Rohtas<\/option><option value=\"Saharsa\">Saharsa<\/option><option value=\"Samastipur\">Samastipur<\/option><option value=\"Saran\">Saran<\/option><option value=\"Sheikhpura\">Sheikhpura<\/option><option value=\"Sheohar\">Sheohar<\/option><option value=\"Sitamarhi\">Sitamarhi<\/option><option value=\"Siwan\">Siwan<\/option><option value=\"Supaul\">Supaul<\/option><option value=\"Vaishali\">Vaishali<\/option><option value=\"West Champaran\">West Champaran<\/option><option value=\"Chandigarh\">Chandigarh<\/option><option value=\"Balod\">Balod<\/option><option value=\"Baloda Bazar\">Baloda Bazar<\/option><option value=\"Balrampur\">Balrampur<\/option><option value=\"Bastar\">Bastar<\/option><option value=\"Bemetara\">Bemetara<\/option><option value=\"Bijapur\">Bijapur<\/option><option value=\"Bilaspur\">Bilaspur<\/option><option value=\"Dantewada\">Dantewada<\/option><option value=\"Dhamtari\">Dhamtari<\/option><option value=\"Durg\">Durg<\/option><option value=\"Gariaband\">Gariaband<\/option><option value=\"Gaurela Pendra Marwahi\">Gaurela Pendra Marwahi<\/option><option value=\"Janjgir Champa\">Janjgir Champa<\/option><option value=\"Jashpur\">Jashpur<\/option><option value=\"Kabirdham\">Kabirdham<\/option><option value=\"Kanker\">Kanker<\/option><option value=\"Khairagarh\">Khairagarh<\/option><option value=\"Kondagaon\">Kondagaon<\/option><option value=\"Korba\">Korba<\/option><option value=\"Koriya\">Koriya<\/option><option value=\"Mahasamund\">Mahasamund<\/option><option value=\"Manendragarh\">Manendragarh<\/option><option value=\"Mohla Manpur\">Mohla Manpur<\/option><option value=\"Mungeli\">Mungeli<\/option><option value=\"Narayanpur\">Narayanpur<\/option><option value=\"Raigarh\">Raigarh<\/option><option value=\"Raipur\">Raipur<\/option><option value=\"Rajnandgaon\">Rajnandgaon<\/option><option value=\"Sakti\">Sakti<\/option><option value=\"Sarangarh Bilaigarh\">Sarangarh Bilaigarh<\/option><option value=\"Sukma\">Sukma<\/option><option value=\"Surajpur\">Surajpur<\/option><option value=\"Surguja\">Surguja<\/option><option value=\"Dadra and Nagar Haveli\">Dadra and Nagar Haveli<\/option><option value=\"Daman\">Daman<\/option><option value=\"Diu\">Diu<\/option><option value=\"Central Delhi\">Central Delhi<\/option><option value=\"East Delhi\">East Delhi<\/option><option value=\"New Delhi\">New Delhi<\/option><option value=\"North Delhi\">North Delhi<\/option><option value=\"North East Delhi\">North East Delhi<\/option><option value=\"North West Delhi\">North West Delhi<\/option><option value=\"Shahdara\">Shahdara<\/option><option value=\"South Delhi\">South Delhi<\/option><option value=\"South East Delhi\">South East Delhi<\/option><option value=\"South West Delhi\">South West Delhi<\/option><option value=\"West Delhi\">West Delhi<\/option><option value=\"North Goa\">North Goa<\/option><option value=\"South Goa\">South Goa<\/option><option value=\"Ahmedabad\">Ahmedabad<\/option><option value=\"Amreli\">Amreli<\/option><option value=\"Anand\">Anand<\/option><option value=\"Aravalli\">Aravalli<\/option><option value=\"Banaskantha\">Banaskantha<\/option><option value=\"Bharuch\">Bharuch<\/option><option value=\"Bhavnagar\">Bhavnagar<\/option><option value=\"Botad\">Botad<\/option><option value=\"Chhota Udaipur\">Chhota Udaipur<\/option><option value=\"Dahod\">Dahod<\/option><option value=\"Dang\">Dang<\/option><option value=\"Devbhoomi Dwarka\">Devbhoomi Dwarka<\/option><option value=\"Gandhinagar\">Gandhinagar<\/option><option value=\"Gir Somnath\">Gir Somnath<\/option><option value=\"Jamnagar\">Jamnagar<\/option><option value=\"Junagadh\">Junagadh<\/option><option value=\"Kheda\">Kheda<\/option><option value=\"Kutch\">Kutch<\/option><option value=\"Mahisagar\">Mahisagar<\/option><option value=\"Mehsana\">Mehsana<\/option><option value=\"Morbi\">Morbi<\/option><option value=\"Narmada\">Narmada<\/option><option value=\"Navsari\">Navsari<\/option><option value=\"Panchmahal\">Panchmahal<\/option><option value=\"Patan\">Patan<\/option><option value=\"Porbandar\">Porbandar<\/option><option value=\"Rajkot\">Rajkot<\/option><option value=\"Sabarkantha\">Sabarkantha<\/option><option value=\"Surat\">Surat<\/option><option value=\"Surendranagar\">Surendranagar<\/option><option value=\"Tapi\">Tapi<\/option><option value=\"Vadodara\">Vadodara<\/option><option value=\"Valsad\">Valsad<\/option><option value=\"Ambala\">Ambala<\/option><option value=\"Bhiwani\">Bhiwani<\/option><option value=\"Charkhi Dadri\">Charkhi Dadri<\/option><option value=\"Faridabad\">Faridabad<\/option><option value=\"Fatehabad\">Fatehabad<\/option><option value=\"Gurugram\">Gurugram<\/option><option value=\"Hisar\">Hisar<\/option><option value=\"Jhajjar\">Jhajjar<\/option><option value=\"Jind\">Jind<\/option><option value=\"Kaithal\">Kaithal<\/option><option value=\"Karnal\">Karnal<\/option><option value=\"Kurukshetra\">Kurukshetra<\/option><option value=\"Mahendragarh\">Mahendragarh<\/option><option value=\"Mewat\">Mewat<\/option><option value=\"Palwal\">Palwal<\/option><option value=\"Panchkula\">Panchkula<\/option><option value=\"Panipat\">Panipat<\/option><option value=\"Rewari\">Rewari<\/option><option value=\"Rohtak\">Rohtak<\/option><option value=\"Sirsa\">Sirsa<\/option><option value=\"Sonipat\">Sonipat<\/option><option value=\"Yamunanagar\">Yamunanagar<\/option><option value=\"Bilaspur\">Bilaspur<\/option><option value=\"Chamba\">Chamba<\/option><option value=\"Hamirpur\">Hamirpur<\/option><option value=\"Kangra\">Kangra<\/option><option value=\"Kinnaur\">Kinnaur<\/option><option value=\"Kullu\">Kullu<\/option><option value=\"Lahaul Spiti\">Lahaul Spiti<\/option><option value=\"Mandi\">Mandi<\/option><option value=\"Shimla\">Shimla<\/option><option value=\"Sirmaur\">Sirmaur<\/option><option value=\"Solan\">Solan<\/option><option value=\"Una\">Una<\/option><option value=\"Anantnag\">Anantnag<\/option><option value=\"Bandipora\">Bandipora<\/option><option value=\"Baramulla\">Baramulla<\/option><option value=\"Budgam\">Budgam<\/option><option value=\"Doda\">Doda<\/option><option value=\"Ganderbal\">Ganderbal<\/option><option value=\"Jammu\">Jammu<\/option><option value=\"Kathua\">Kathua<\/option><option value=\"Kishtwar\">Kishtwar<\/option><option value=\"Kulgam\">Kulgam<\/option><option value=\"Kupwara\">Kupwara<\/option><option value=\"Poonch\">Poonch<\/option><option value=\"Pulwama\">Pulwama<\/option><option value=\"Rajouri\">Rajouri<\/option><option value=\"Ramban\">Ramban<\/option><option value=\"Reasi\">Reasi<\/option><option value=\"Samba\">Samba<\/option><option value=\"Shopian\">Shopian<\/option><option value=\"Srinagar\">Srinagar<\/option><option value=\"Udhampur\">Udhampur<\/option><option value=\"Bokaro\">Bokaro<\/option><option value=\"Chatra\">Chatra<\/option><option value=\"Deoghar\">Deoghar<\/option><option value=\"Dhanbad\">Dhanbad<\/option><option value=\"Dumka\">Dumka<\/option><option value=\"East Singhbhum\">East Singhbhum<\/option><option value=\"Garhwa\">Garhwa<\/option><option value=\"Giridih\">Giridih<\/option><option value=\"Godda\">Godda<\/option><option value=\"Gumla\">Gumla<\/option><option value=\"Hazaribagh\">Hazaribagh<\/option><option value=\"Jamtara\">Jamtara<\/option><option value=\"Khunti\">Khunti<\/option><option value=\"Koderma\">Koderma<\/option><option value=\"Latehar\">Latehar<\/option><option value=\"Lohardaga\">Lohardaga<\/option><option value=\"Pakur\">Pakur<\/option><option value=\"Palamu\">Palamu<\/option><option value=\"Ramgarh\">Ramgarh<\/option><option value=\"Ranchi\">Ranchi<\/option><option value=\"Sahebganj\">Sahebganj<\/option><option value=\"Seraikela Kharsawan\">Seraikela Kharsawan<\/option><option value=\"Simdega\">Simdega<\/option><option value=\"West Singhbhum\">West Singhbhum<\/option><option value=\"Bagalkot\">Bagalkot<\/option><option value=\"Bangalore Rural\">Bangalore Rural<\/option><option value=\"Bangalore Urban\">Bangalore Urban<\/option><option value=\"Belgaum\">Belgaum<\/option><option value=\"Bellary\">Bellary<\/option><option value=\"Bidar\">Bidar<\/option><option value=\"Chamarajanagar\">Chamarajanagar<\/option><option value=\"Chikkaballapur\">Chikkaballapur<\/option><option value=\"Chikkamagaluru\">Chikkamagaluru<\/option><option value=\"Chitradurga\">Chitradurga<\/option><option value=\"Dakshina Kannada\">Dakshina Kannada<\/option><option value=\"Davanagere\">Davanagere<\/option><option value=\"Dharwad\">Dharwad<\/option><option value=\"Gadag\">Gadag<\/option><option value=\"Gulbarga\">Gulbarga<\/option><option value=\"Hassan\">Hassan<\/option><option value=\"Haveri\">Haveri<\/option><option value=\"Kodagu\">Kodagu<\/option><option value=\"Kolar\">Kolar<\/option><option value=\"Koppal\">Koppal<\/option><option value=\"Mandya\">Mandya<\/option><option value=\"Mysore\">Mysore<\/option><option value=\"Raichur\">Raichur<\/option><option value=\"Ramanagara\">Ramanagara<\/option><option value=\"Shimoga\">Shimoga<\/option><option value=\"Tumkur\">Tumkur<\/option><option value=\"Udupi\">Udupi<\/option><option value=\"Uttara Kannada\">Uttara Kannada<\/option><option value=\"Vijayanagara\">Vijayanagara<\/option><option value=\"Vijayapura\">Vijayapura<\/option><option value=\"Yadgir\">Yadgir<\/option><option value=\"Alappuzha\">Alappuzha<\/option><option value=\"Ernakulam\">Ernakulam<\/option><option value=\"Idukki\">Idukki<\/option><option value=\"Kannur\">Kannur<\/option><option value=\"Kasaragod\">Kasaragod<\/option><option value=\"Kollam\">Kollam<\/option><option value=\"Kottayam\">Kottayam<\/option><option value=\"Kozhikode\">Kozhikode<\/option><option value=\"Malappuram\">Malappuram<\/option><option value=\"Palakkad\">Palakkad<\/option><option value=\"Pathanamthitta\">Pathanamthitta<\/option><option value=\"Thiruvananthapuram\">Thiruvananthapuram<\/option><option value=\"Thrissur\">Thrissur<\/option><option value=\"Wayanad\">Wayanad<\/option><option value=\"Kargil\">Kargil<\/option><option value=\"Leh\">Leh<\/option><option value=\"Lakshadweep\">Lakshadweep<\/option><option value=\"Agar Malwa\">Agar Malwa<\/option><option value=\"Alirajpur\">Alirajpur<\/option><option value=\"Anuppur\">Anuppur<\/option><option value=\"Ashoknagar\">Ashoknagar<\/option><option value=\"Balaghat\">Balaghat<\/option><option value=\"Barwani\">Barwani<\/option><option value=\"Betul\">Betul<\/option><option value=\"Bhind\">Bhind<\/option><option value=\"Bhopal\">Bhopal<\/option><option value=\"Burhanpur\">Burhanpur<\/option><option value=\"Chachaura\">Chachaura<\/option><option value=\"Chhatarpur\">Chhatarpur<\/option><option value=\"Chhindwara\">Chhindwara<\/option><option value=\"Damoh\">Damoh<\/option><option value=\"Datia\">Datia<\/option><option value=\"Dewas\">Dewas<\/option><option value=\"Dhar\">Dhar<\/option><option value=\"Dindori\">Dindori<\/option><option value=\"Guna\">Guna<\/option><option value=\"Gwalior\">Gwalior<\/option><option value=\"Harda\">Harda<\/option><option value=\"Hoshangabad\">Hoshangabad<\/option><option value=\"Indore\">Indore<\/option><option value=\"Jabalpur\">Jabalpur<\/option><option value=\"Jhabua\">Jhabua<\/option><option value=\"Katni\">Katni<\/option><option value=\"Khandwa\">Khandwa<\/option><option value=\"Khargone\">Khargone<\/option><option value=\"Maihar\">Maihar<\/option><option value=\"Mandla\">Mandla<\/option><option value=\"Mandsaur\">Mandsaur<\/option><option value=\"Morena\">Morena<\/option><option value=\"Nagda\">Nagda<\/option><option value=\"Narsinghpur\">Narsinghpur<\/option><option value=\"Neemuch\">Neemuch<\/option><option value=\"Niwari\">Niwari<\/option><option value=\"Panna\">Panna<\/option><option value=\"Raisen\">Raisen<\/option><option value=\"Rajgarh\">Rajgarh<\/option><option value=\"Ratlam\">Ratlam<\/option><option value=\"Rewa\">Rewa<\/option><option value=\"Sagar\">Sagar<\/option><option value=\"Satna\">Satna<\/option><option value=\"Sehore\">Sehore<\/option><option value=\"Seoni\">Seoni<\/option><option value=\"Shahdol\">Shahdol<\/option><option value=\"Shajapur\">Shajapur<\/option><option value=\"Sheopur\">Sheopur<\/option><option value=\"Shivpuri\">Shivpuri<\/option><option value=\"Sidhi\">Sidhi<\/option><option value=\"Singrauli\">Singrauli<\/option><option value=\"Tikamgarh\">Tikamgarh<\/option><option value=\"Ujjain\">Ujjain<\/option><option value=\"Umaria\">Umaria<\/option><option value=\"Vidisha\">Vidisha<\/option><option value=\"Ahmednagar\">Ahmednagar<\/option><option value=\"Akola\">Akola<\/option><option value=\"Amravati\">Amravati<\/option><option value=\"Aurangabad\">Aurangabad<\/option><option value=\"Beed\">Beed<\/option><option value=\"Bhandara\">Bhandara<\/option><option value=\"Buldhana\">Buldhana<\/option><option value=\"Chandrapur\">Chandrapur<\/option><option value=\"Dhule\">Dhule<\/option><option value=\"Gadchiroli\">Gadchiroli<\/option><option value=\"Gondia\">Gondia<\/option><option value=\"Hingoli\">Hingoli<\/option><option value=\"Jalgaon\">Jalgaon<\/option><option value=\"Jalna\">Jalna<\/option><option value=\"Kolhapur\">Kolhapur<\/option><option value=\"Latur\">Latur<\/option><option value=\"Mumbai City\">Mumbai City<\/option><option value=\"Mumbai Suburban\">Mumbai Suburban<\/option><option value=\"Nagpur\">Nagpur<\/option><option value=\"Nanded\">Nanded<\/option><option value=\"Nandurbar\">Nandurbar<\/option><option value=\"Nashik\">Nashik<\/option><option value=\"Osmanabad\">Osmanabad<\/option><option value=\"Palghar\">Palghar<\/option><option value=\"Parbhani\">Parbhani<\/option><option value=\"Pune\">Pune<\/option><option value=\"Raigad\">Raigad<\/option><option value=\"Ratnagiri\">Ratnagiri<\/option><option value=\"Sangli\">Sangli<\/option><option value=\"Satara\">Satara<\/option><option value=\"Sindhudurg\">Sindhudurg<\/option><option value=\"Solapur\">Solapur<\/option><option value=\"Thane\">Thane<\/option><option value=\"Wardha\">Wardha<\/option><option value=\"Washim\">Washim<\/option><option value=\"Yavatmal\">Yavatmal<\/option><option value=\"Bishnupur\">Bishnupur<\/option><option value=\"Chandel\">Chandel<\/option><option value=\"Churachandpur\">Churachandpur<\/option><option value=\"Imphal East\">Imphal East<\/option><option value=\"Imphal West\">Imphal West<\/option><option value=\"Jiribam\">Jiribam<\/option><option value=\"Kakching\">Kakching<\/option><option value=\"Kamjong\">Kamjong<\/option><option value=\"Kangpokpi\">Kangpokpi<\/option><option value=\"Noney\">Noney<\/option><option value=\"Pherzawl\">Pherzawl<\/option><option value=\"Senapati\">Senapati<\/option><option value=\"Tamenglong\">Tamenglong<\/option><option value=\"Tengnoupal\">Tengnoupal<\/option><option value=\"Thoubal\">Thoubal<\/option><option value=\"Ukhrul\">Ukhrul<\/option><option value=\"East Garo Hills\">East Garo Hills<\/option><option value=\"East Jaintia Hills\">East Jaintia Hills<\/option><option value=\"East Khasi Hills\">East Khasi Hills<\/option><option value=\"Mairang\">Mairang<\/option><option value=\"North Garo Hills\">North Garo Hills<\/option><option value=\"Ri Bhoi\">Ri Bhoi<\/option><option value=\"South Garo Hills\">South Garo Hills<\/option><option value=\"South West Garo Hills\">South West Garo Hills<\/option><option value=\"South West Khasi Hills\">South West Khasi Hills<\/option><option value=\"West Garo Hills\">West Garo Hills<\/option><option value=\"West Jaintia Hills\">West Jaintia Hills<\/option><option value=\"West Khasi Hills\">West Khasi Hills<\/option><option value=\"Aizawl\">Aizawl<\/option><option value=\"Champhai\">Champhai<\/option><option value=\"Hnahthial\">Hnahthial<\/option><option value=\"Kolasib\">Kolasib<\/option><option value=\"Khawzawl\">Khawzawl<\/option><option value=\"Lawngtlai\">Lawngtlai<\/option><option value=\"Lunglei\">Lunglei<\/option><option value=\"Mamit\">Mamit<\/option><option value=\"Saiha\">Saiha<\/option><option value=\"Serchhip\">Serchhip<\/option><option value=\"Saitual\">Saitual<\/option><option value=\"Chumukedima\">Chumukedima<\/option><option value=\"Dimapur\">Dimapur<\/option><option value=\"Kiphire\">Kiphire<\/option><option value=\"Kohima\">Kohima<\/option><option value=\"Longleng\">Longleng<\/option><option value=\"Mokokchung\">Mokokchung<\/option><option value=\"Mon\">Mon<\/option><option value=\"Niuland\">Niuland<\/option><option value=\"Noklak\">Noklak<\/option><option value=\"Peren\">Peren<\/option><option value=\"Phek\">Phek<\/option><option value=\"Shamator\">Shamator<\/option><option value=\"Tseminyu\">Tseminyu<\/option><option value=\"Tuensang\">Tuensang<\/option><option value=\"Wokha\">Wokha<\/option><option value=\"Zunheboto\">Zunheboto<\/option><option value=\"Angul\">Angul<\/option><option value=\"Balangir\">Balangir<\/option><option value=\"Balasore\">Balasore<\/option><option value=\"Bargarh\">Bargarh<\/option><option value=\"Bhadrak\">Bhadrak<\/option><option value=\"Boudh\">Boudh<\/option><option value=\"Cuttack\">Cuttack<\/option><option value=\"Debagarh\">Debagarh<\/option><option value=\"Dhenkanal\">Dhenkanal<\/option><option value=\"Gajapati\">Gajapati<\/option><option value=\"Ganjam\">Ganjam<\/option><option value=\"Jagatsinghpur\">Jagatsinghpur<\/option><option value=\"Jajpur\">Jajpur<\/option><option value=\"Jharsuguda\">Jharsuguda<\/option><option value=\"Kalahandi\">Kalahandi<\/option><option value=\"Kandhamal\">Kandhamal<\/option><option value=\"Kendrapara\">Kendrapara<\/option><option value=\"Kendujhar\">Kendujhar<\/option><option value=\"Khordha\">Khordha<\/option><option value=\"Koraput\">Koraput<\/option><option value=\"Malkangiri\">Malkangiri<\/option><option value=\"Mayurbhanj\">Mayurbhanj<\/option><option value=\"Nabarangpur\">Nabarangpur<\/option><option value=\"Nayagarh\">Nayagarh<\/option><option value=\"Nuapada\">Nuapada<\/option><option value=\"Puri\">Puri<\/option><option value=\"Rayagada\">Rayagada<\/option><option value=\"Sambalpur\">Sambalpur<\/option><option value=\"Subarnapur\">Subarnapur<\/option><option value=\"Sundergarh\">Sundergarh<\/option><option value=\"Karaikal\">Karaikal<\/option><option value=\"Mahe\">Mahe<\/option><option value=\"Puducherry\">Puducherry<\/option><option value=\"Yanam\">Yanam<\/option><option value=\"Amritsar\">Amritsar<\/option><option value=\"Barnala\">Barnala<\/option><option value=\"Bathinda\">Bathinda<\/option><option value=\"Faridkot\">Faridkot<\/option><option value=\"Fatehgarh Sahib\">Fatehgarh Sahib<\/option><option value=\"Fazilka\">Fazilka<\/option><option value=\"Firozpur\">Firozpur<\/option><option value=\"Gurdaspur\">Gurdaspur<\/option><option value=\"Hoshiarpur\">Hoshiarpur<\/option><option value=\"Jalandhar\">Jalandhar<\/option><option value=\"Kapurthala\">Kapurthala<\/option><option value=\"Ludhiana\">Ludhiana<\/option><option value=\"Malerkotla\">Malerkotla<\/option><option value=\"Mansa\">Mansa<\/option><option value=\"Moga\">Moga<\/option><option value=\"Mohali\">Mohali<\/option><option value=\"Muktsar\">Muktsar<\/option><option value=\"Pathankot\">Pathankot<\/option><option value=\"Patiala\">Patiala<\/option><option value=\"Rupnagar\">Rupnagar<\/option><option value=\"Sangrur\">Sangrur<\/option><option value=\"Shaheed Bhagat Singh Nagar\">Shaheed Bhagat Singh Nagar<\/option><option value=\"Tarn Taran\">Tarn Taran<\/option><option value=\"Ajmer\">Ajmer<\/option><option value=\"Alwar\">Alwar<\/option><option value=\"Banswara\">Banswara<\/option><option value=\"Baran\">Baran<\/option><option value=\"Barmer\">Barmer<\/option><option value=\"Bharatpur\">Bharatpur<\/option><option value=\"Bhilwara\">Bhilwara<\/option><option value=\"Bikaner\">Bikaner<\/option><option value=\"Bundi\">Bundi<\/option><option value=\"Chittorgarh\">Chittorgarh<\/option><option value=\"Churu\">Churu<\/option><option value=\"Dausa\">Dausa<\/option><option value=\"Dholpur\">Dholpur<\/option><option value=\"Dungarpur\">Dungarpur<\/option><option value=\"Hanumangarh\">Hanumangarh<\/option><option value=\"Jaipur\">Jaipur<\/option><option value=\"Jaisalmer\">Jaisalmer<\/option><option value=\"Jalore\">Jalore<\/option><option value=\"Jhalawar\">Jhalawar<\/option><option value=\"Jhunjhunu\">Jhunjhunu<\/option><option value=\"Jodhpur\">Jodhpur<\/option><option value=\"Karauli\">Karauli<\/option><option value=\"Kota\">Kota<\/option><option value=\"Nagaur\">Nagaur<\/option><option value=\"Pali\">Pali<\/option><option value=\"Pratapgarh\">Pratapgarh<\/option><option value=\"Rajsamand\">Rajsamand<\/option><option value=\"Sawai Madhopur\">Sawai Madhopur<\/option><option value=\"Sikar\">Sikar<\/option><option value=\"Sirohi\">Sirohi<\/option><option value=\"Sri Ganganagar\">Sri Ganganagar<\/option><option value=\"Tonk\">Tonk<\/option><option value=\"Udaipur\">Udaipur<\/option><option value=\"East Sikkim\">East Sikkim<\/option><option value=\"North Sikkim\">North Sikkim<\/option><option value=\"Pakyong\">Pakyong<\/option><option value=\"Soreng\">Soreng<\/option><option value=\"South Sikkim\">South Sikkim<\/option><option value=\"West Sikkim\">West Sikkim<\/option><option value=\"Ariyalur\">Ariyalur<\/option><option value=\"Chengalpattu\">Chengalpattu<\/option><option value=\"Chennai\">Chennai<\/option><option value=\"Coimbatore\">Coimbatore<\/option><option value=\"Cuddalore\">Cuddalore<\/option><option value=\"Dharmapuri\">Dharmapuri<\/option><option value=\"Dindigul\">Dindigul<\/option><option value=\"Erode\">Erode<\/option><option value=\"Kallakurichi\">Kallakurichi<\/option><option value=\"Kanchipuram\">Kanchipuram<\/option><option value=\"Kanyakumari\">Kanyakumari<\/option><option value=\"Karur\">Karur<\/option><option value=\"Krishnagiri\">Krishnagiri<\/option><option value=\"Madurai\">Madurai<\/option><option value=\"Mayiladuthurai\">Mayiladuthurai<\/option><option value=\"Nagapattinam\">Nagapattinam<\/option><option value=\"Namakkal\">Namakkal<\/option><option value=\"Nilgiris\">Nilgiris<\/option><option value=\"Perambalur\">Perambalur<\/option><option value=\"Pudukkottai\">Pudukkottai<\/option><option value=\"Ramanathapuram\">Ramanathapuram<\/option><option value=\"Ranipet\">Ranipet<\/option><option value=\"Salem\">Salem<\/option><option value=\"Sivaganga\">Sivaganga<\/option><option value=\"Tenkasi\">Tenkasi<\/option><option value=\"Thanjavur\">Thanjavur<\/option><option value=\"Theni\">Theni<\/option><option value=\"Thoothukudi\">Thoothukudi<\/option><option value=\"Tiruchirappalli\">Tiruchirappalli<\/option><option value=\"Tirunelveli\">Tirunelveli<\/option><option value=\"Tirupattur\">Tirupattur<\/option><option value=\"Tiruppur\">Tiruppur<\/option><option value=\"Tiruvallur\">Tiruvallur<\/option><option value=\"Tiruvannamalai\">Tiruvannamalai<\/option><option value=\"Tiruvarur\">Tiruvarur<\/option><option value=\"Vellore\">Vellore<\/option><option value=\"Viluppuram\">Viluppuram<\/option><option value=\"Virudhunagar\">Virudhunagar<\/option><option value=\"Adilabad\">Adilabad<\/option><option value=\"Bhadradri Kothagudem\">Bhadradri Kothagudem<\/option><option value=\"Hyderabad\">Hyderabad<\/option><option value=\"Jagtial\">Jagtial<\/option><option value=\"Jangaon\">Jangaon<\/option><option value=\"Jayashankar\">Jayashankar<\/option><option value=\"Jogulamba\">Jogulamba<\/option><option value=\"Kamareddy\">Kamareddy<\/option><option value=\"Karimnagar\">Karimnagar<\/option><option value=\"Khammam\">Khammam<\/option><option value=\"Komaram Bheem\">Komaram Bheem<\/option><option value=\"Mahabubabad\">Mahabubabad<\/option><option value=\"Mahbubnagar\">Mahbubnagar<\/option><option value=\"Mancherial\">Mancherial<\/option><option value=\"Medak\">Medak<\/option><option value=\"Medchal\">Medchal<\/option><option value=\"Mulugu\">Mulugu<\/option><option value=\"Nagarkurnool\">Nagarkurnool<\/option><option value=\"Nalgonda\">Nalgonda<\/option><option value=\"Narayanpet\">Narayanpet<\/option><option value=\"Nirmal\">Nirmal<\/option><option value=\"Nizamabad\">Nizamabad<\/option><option value=\"Peddapalli\">Peddapalli<\/option><option value=\"Rajanna Sircilla\">Rajanna Sircilla<\/option><option value=\"Ranga Reddy\">Ranga Reddy<\/option><option value=\"Sangareddy\">Sangareddy<\/option><option value=\"Siddipet\">Siddipet<\/option><option value=\"Suryapet\">Suryapet<\/option><option value=\"Vikarabad\">Vikarabad<\/option><option value=\"Wanaparthy\">Wanaparthy<\/option><option value=\"Warangal\">Warangal<\/option><option value=\"Hanamkonda\">Hanamkonda<\/option><option value=\"Yadadri Bhuvanagiri\">Yadadri Bhuvanagiri<\/option><option value=\"Dhalai\">Dhalai<\/option><option value=\"Gomati\">Gomati<\/option><option value=\"Khowai\">Khowai<\/option><option value=\"North Tripura\">North Tripura<\/option><option value=\"Sepahijala\">Sepahijala<\/option><option value=\"South Tripura\">South Tripura<\/option><option value=\"Unakoti\">Unakoti<\/option><option value=\"West Tripura\">West Tripura<\/option><option value=\"Agra\">Agra<\/option><option value=\"Aligarh\">Aligarh<\/option><option value=\"Ambedkar Nagar\">Ambedkar Nagar<\/option><option value=\"Amethi\">Amethi<\/option><option value=\"Amroha\">Amroha<\/option><option value=\"Auraiya\">Auraiya<\/option><option value=\"Ayodhya\">Ayodhya<\/option><option value=\"Azamgarh\">Azamgarh<\/option><option value=\"Baghpat\">Baghpat<\/option><option value=\"Bahraich\">Bahraich<\/option><option value=\"Ballia\">Ballia<\/option><option value=\"Balrampur\">Balrampur<\/option><option value=\"Banda\">Banda<\/option><option value=\"Barabanki\">Barabanki<\/option><option value=\"Bareilly\">Bareilly<\/option><option value=\"Basti\">Basti<\/option><option value=\"Bhadohi\">Bhadohi<\/option><option value=\"Bijnor\">Bijnor<\/option><option value=\"Budaun\">Budaun<\/option><option value=\"Bulandshahr\">Bulandshahr<\/option><option value=\"Chandauli\">Chandauli<\/option><option value=\"Chitrakoot\">Chitrakoot<\/option><option value=\"Deoria\">Deoria<\/option><option value=\"Etah\">Etah<\/option><option value=\"Etawah\">Etawah<\/option><option value=\"Farrukhabad\">Farrukhabad<\/option><option value=\"Fatehpur\">Fatehpur<\/option><option value=\"Firozabad\">Firozabad<\/option><option value=\"Gautam Buddha Nagar\">Gautam Buddha Nagar<\/option><option value=\"Ghaziabad\">Ghaziabad<\/option><option value=\"Ghazipur\">Ghazipur<\/option><option value=\"Gonda\">Gonda<\/option><option value=\"Gorakhpur\">Gorakhpur<\/option><option value=\"Hamirpur\">Hamirpur<\/option><option value=\"Hapur\">Hapur<\/option><option value=\"Hardoi\">Hardoi<\/option><option value=\"Hathras\">Hathras<\/option><option value=\"Jalaun\">Jalaun<\/option><option value=\"Jaunpur\">Jaunpur<\/option><option value=\"Jhansi\">Jhansi<\/option><option value=\"Kannauj\">Kannauj<\/option><option value=\"Kanpur Dehat\">Kanpur Dehat<\/option><option value=\"Kanpur Nagar\">Kanpur Nagar<\/option><option value=\"Kasganj\">Kasganj<\/option><option value=\"Kaushambi\">Kaushambi<\/option><option value=\"Kheri\">Kheri<\/option><option value=\"Kushinagar\">Kushinagar<\/option><option value=\"Lalitpur\">Lalitpur<\/option><option value=\"Lucknow\">Lucknow<\/option><option value=\"Maharajganj\">Maharajganj<\/option><option value=\"Mahoba\">Mahoba<\/option><option value=\"Mainpuri\">Mainpuri<\/option><option value=\"Mathura\">Mathura<\/option><option value=\"Mau\">Mau<\/option><option value=\"Meerut\">Meerut<\/option><option value=\"Mirzapur\">Mirzapur<\/option><option value=\"Moradabad\">Moradabad<\/option><option value=\"Muzaffarnagar\">Muzaffarnagar<\/option><option value=\"Pilibhit\">Pilibhit<\/option><option value=\"Pratapgarh\">Pratapgarh<\/option><option value=\"Prayagraj\">Prayagraj<\/option><option value=\"Raebareli\">Raebareli<\/option><option value=\"Rampur\">Rampur<\/option><option value=\"Saharanpur\">Saharanpur<\/option><option value=\"Sambhal\">Sambhal<\/option><option value=\"Sant Kabir Nagar\">Sant Kabir Nagar<\/option><option value=\"Shahjahanpur\">Shahjahanpur<\/option><option value=\"Shamli\">Shamli<\/option><option value=\"Shravasti\">Shravasti<\/option><option value=\"Siddharthnagar\">Siddharthnagar<\/option><option value=\"Sitapur\">Sitapur<\/option><option value=\"Sonbhadra\">Sonbhadra<\/option><option value=\"Sultanpur\">Sultanpur<\/option><option value=\"Unnao\">Unnao<\/option><option value=\"Varanasi\">Varanasi<\/option><option value=\"Almora\">Almora<\/option><option value=\"Bageshwar\">Bageshwar<\/option><option value=\"Chamoli\">Chamoli<\/option><option value=\"Champawat\">Champawat<\/option><option value=\"Dehradun\">Dehradun<\/option><option value=\"Haridwar\">Haridwar<\/option><option value=\"Nainital\">Nainital<\/option><option value=\"Pauri\">Pauri<\/option><option value=\"Pithoragarh\">Pithoragarh<\/option><option value=\"Rudraprayag\">Rudraprayag<\/option><option value=\"Tehri\">Tehri<\/option><option value=\"Udham Singh Nagar\">Udham Singh Nagar<\/option><option value=\"Uttarkashi\">Uttarkashi<\/option><option value=\"Alipurduar\">Alipurduar<\/option><option value=\"Bankura\">Bankura<\/option><option value=\"Birbhum\">Birbhum<\/option><option value=\"Cooch Behar\">Cooch Behar<\/option><option value=\"Dakshin Dinajpur\">Dakshin Dinajpur<\/option><option value=\"Darjeeling\">Darjeeling<\/option><option value=\"Hooghly\">Hooghly<\/option><option value=\"Howrah\">Howrah<\/option><option value=\"Jalpaiguri\">Jalpaiguri<\/option><option value=\"Jhargram\">Jhargram<\/option><option value=\"Kalimpong\">Kalimpong<\/option><option value=\"Kolkata\">Kolkata<\/option><option value=\"Malda\">Malda<\/option><option value=\"Murshidabad\">Murshidabad<\/option><option value=\"Nadia\">Nadia<\/option><option value=\"North 24 Parganas\">North 24 Parganas<\/option><option value=\"Paschim Bardhaman\">Paschim Bardhaman<\/option><option value=\"Paschim Medinipur\">Paschim Medinipur<\/option><option value=\"Purba Bardhaman\">Purba Bardhaman<\/option><option value=\"Purba Medinipur\">Purba Medinipur<\/option><option value=\"Purulia\">Purulia<\/option><option value=\"South 24 Parganas\">South 24 Parganas<\/option><option value=\"Uttar Dinajpur\">Uttar Dinajpur<\/option><\/select><\/span><\/label>\n<\/p>\n<p><label> <b> 13.Update Your Bank details (Select Your Bank)\n\t\t\t<split style=\"color: red\" ;>*\n\t\t\t<\/split><\/b><br>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"SelectyourBank\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"SelectyourBank\"><option value=\"Select One\">Select One<\/option><option value=\"Allahabad Bank\">Allahabad Bank<\/option><option value=\"Andhra Bank\">Andhra Bank<\/option><option value=\"Axis Bank\">Axis Bank<\/option><option value=\"Bank of Bahrain and Kuwait\">Bank of Bahrain and Kuwait<\/option><option value=\"Bank of Baroda - Corporate Banking\">Bank of Baroda \u2013 Corporate Banking<\/option><option value=\"Bank of Baroda - Retail Banking\">Bank of Baroda \u2013 Retail Banking<\/option><option value=\"Bank of India\">Bank of India<\/option><option value=\"Bank of Maharashtra\">Bank of Maharashtra<\/option><option value=\"Canara Bank\">Canara Bank<\/option><option value=\"Central Bank of India\">Central Bank of India<\/option><option value=\"City Union Bank\">City Union Bank<\/option><option value=\"Corporation Bank\">Corporation Bank<\/option><option value=\"Deutsche Bank\">Deutsche Bank<\/option><option value=\"Development Credit Bank\">Development Credit Bank<\/option><option value=\"Dhanlaxmi Bank\">Dhanlaxmi Bank<\/option><option value=\"Federal Bank\">Federal Bank<\/option><option value=\"ICICI Bank\">ICICI Bank<\/option><option value=\"IDBI Bank\">IDBI Bank<\/option><option value=\"Indian Bank\">Indian Bank<\/option><option value=\"Indian Overseas Bank\">Indian Overseas Bank<\/option><option value=\"IndusInd Bank\">IndusInd Bank<\/option><option value=\"ING Vysya Bank\">ING Vysya Bank<\/option><option value=\"Jammu and Kashmir Bank\">Jammu and Kashmir Bank<\/option><option value=\"Karnataka Bank Ltd\">Karnataka Bank Ltd<\/option><option value=\"Karur Vysya Bank\">Karur Vysya Bank<\/option><option value=\"Kotak Bank\">Kotak Bank<\/option><option value=\"Laxmi Vilas Bank\">Laxmi Vilas Bank<\/option><option value=\"Oriental Bank of Commerce\">Oriental Bank of Commerce<\/option><option value=\"Punjab National Bank - Corporate Banking\">Punjab National Bank \u2013 Corporate Banking<\/option><option value=\"Punjab National Bank - Retail Banking\">Punjab National Bank \u2013 Retail Banking<\/option><option value=\"Punjab &amp; Sind Bank\">Punjab &amp; Sind Bank<\/option><option value=\"Shamrao Vitthal Co-operative Bank\">Shamrao Vitthal Co-operative Bank<\/option><option value=\"South Indian Bank\">South Indian Bank<\/option><option value=\"State Bank of Bikaner &amp; Jaipur\">State Bank of Bikaner &amp; Jaipur<\/option><option value=\"State Bank of Hyderabad\">State Bank of Hyderabad<\/option><option value=\"State Bank of India\">State Bank of India<\/option><option value=\"State Bank of Mysore\">State Bank of Mysore<\/option><option value=\"State Bank of Patiala\">State Bank of Patiala<\/option><option value=\"State Bank of Travancore\">State Bank of Travancore<\/option><option value=\"Syndicate Bank\">Syndicate Bank<\/option><option value=\"Tamilnad Mercantile Bank Ltd.\">Tamilnad Mercantile Bank Ltd.<\/option><option value=\"UCO Bank\">UCO Bank<\/option><option value=\"Union Bank of India\">Union Bank of India<\/option><option value=\"United Bank of India\">United Bank of India<\/option><option value=\"Vijaya Bank\">Vijaya Bank<\/option><option value=\"Yes Bank Ltd\">Yes Bank Ltd<\/option><option value=\"Not Applicable\">Not Applicable<\/option><\/select><\/span><br>\n<\/label>\n<\/p>\n<p><label> <b> 14.Choose Your Gramin Bank(optional)<\/b><br>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"menu-247GraminBank\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"menu-247GraminBank\"><option value=\"Select One\">Select One<\/option><option value=\"Andhra Pradesh Grameena Vikas Bank\">Andhra Pradesh Grameena Vikas Bank<\/option><option value=\"Andhra Pragathi Grameena Bank\">Andhra Pragathi Grameena Bank<\/option><option value=\"Arunachal Pradesh Rural Bank\">Arunachal Pradesh Rural Bank<\/option><option value=\"Aryavart Bank\">Aryavart Bank<\/option><option value=\"Assam Gramin Vikash Bank\">Assam Gramin Vikash Bank<\/option><option value=\"Bangiya Gramin Vikash Bank\">Bangiya Gramin Vikash Bank<\/option><option value=\"Baroda Gujarat Gramin Bank\">Baroda Gujarat Gramin Bank<\/option><option value=\"Baroda Rajasthan Kshetriya Gramin Bank\">Baroda Rajasthan Kshetriya Gramin Bank<\/option><option value=\"Baroda UP Bank\">Baroda UP Bank<\/option><option value=\"Chaitanya Godavari Grameena Bank\">Chaitanya Godavari Grameena Bank<\/option><option value=\"Chhattisgarh Rajya Gramin Bank\">Chhattisgarh Rajya Gramin Bank<\/option><option value=\"Dakshin Bihar Gramin Bank\">Dakshin Bihar Gramin Bank<\/option><option value=\"Ellaquai Dehati Bank\">Ellaquai Dehati Bank<\/option><option value=\"Himachal Pradesh Gramin Bank\">Himachal Pradesh Gramin Bank<\/option><option value=\"J&amp;K Grameen Bank\">J&amp;K Grameen Bank<\/option><option value=\"Jharkhand Rajya Gramin Bank\">Jharkhand Rajya Gramin Bank<\/option><option value=\"Karnataka Gramin Bank\">Karnataka Gramin Bank<\/option><option value=\"Karnataka Vikas Grameena Bank\">Karnataka Vikas Grameena Bank<\/option><option value=\"Kerala Gramin Bank\">Kerala Gramin Bank<\/option><option value=\"Madhya Pradesh Gramin Bank\">Madhya Pradesh Gramin Bank<\/option><option value=\"Madhyanchal Gramin Bank\">Madhyanchal Gramin Bank<\/option><option value=\"Maharashtra Gramin Bank\">Maharashtra Gramin Bank<\/option><option value=\"Manipur Rural Bank\">Manipur Rural Bank<\/option><option value=\"Meghalaya Rural Bank\">Meghalaya Rural Bank<\/option><option value=\"Mizoram Rural Bank\">Mizoram Rural Bank<\/option><option value=\"Nagaland Rural Bank\">Nagaland Rural Bank<\/option><option value=\"Odisha Gramya Bank\">Odisha Gramya Bank<\/option><option value=\"Paschim Banga Gramin Bank\">Paschim Banga Gramin Bank<\/option><option value=\"Prathama UP Gramin Bank\">Prathama UP Gramin Bank<\/option><option value=\"Puduvai Bharthiar Grama Bank\">Puduvai Bharthiar Grama Bank<\/option><option value=\"Punjab Gramin Bank\">Punjab Gramin Bank<\/option><option value=\"Rajasthan Marudhara Gramin Bank\">Rajasthan Marudhara Gramin Bank<\/option><option value=\"Saptagiri Grameena Bank\">Saptagiri Grameena Bank<\/option><option value=\"Sarva Haryana Gramin Bank\">Sarva Haryana Gramin Bank<\/option><option value=\"Saurashtra Gramin Bank\">Saurashtra Gramin Bank<\/option><option value=\"Tamil Nadu Grama Bank\">Tamil Nadu Grama Bank<\/option><option value=\"Telangana Grameena Bank\">Telangana Grameena Bank<\/option><option value=\"Tripura Gramin Bank\">Tripura Gramin Bank<\/option><option value=\"Utkal Grameen Bank\">Utkal Grameen Bank<\/option><option value=\"Uttar Banga Kshetriya Gramin Bank\">Uttar Banga Kshetriya Gramin Bank<\/option><option value=\"Uttar Bihar Gramin Bank\">Uttar Bihar Gramin Bank<\/option><option value=\"Uttarakhand Gramin Bank\">Uttarakhand Gramin Bank<\/option><option value=\"Vidharbha Konkan Gramin Bank\">Vidharbha Konkan Gramin Bank<\/option><option value=\"Not Applicable\">Not Applicable<\/option><\/select><\/span><\/label>\n<\/p>\n<p><label> <b>15.Bank Branch Address<\/b>\n\t\t<split style=\"color: red\" ;>*\n\t\t<\/split><br>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-BankBrunchDetails\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-BankBrunchDetails\"><\/span><\/label><br>\n<label> <b>16.IFSC CODE and First Page of A\/C Details of Bank Pass Book<\/b>\n\t\t<split style=\"color: red\" ;>*\n\t\t<\/split><br>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-955IFSCCODE\"><input size=\"40\" maxlength=\"11\" minlength=\"9\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-955IFSCCODE\"><\/span><\/label>\n<\/p>\n\n<!----------------------------------  Strat Student's Passed Information---------->\n<p><label> <b>17.Aggregate % Marks obtained in last class Passed (Please write in % only) <\/b>\n\t\t<split style=\"color: red\" ;>*\n\t\t<\/split><br>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Marksobtained\"><input size=\"40\" maxlength=\"6\" minlength=\"4\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Marksobtained\"><\/span><\/label>\n<\/p>\n<p><label> <b> 18.Name Of School \/ College \/ Institution \/ University (PASSED) <\/b>\n\t\t<split style=\"color: red\" ;>*\n\t\t<\/split><span class=\"wpcf7-form-control-wrap\" data-name=\"text-NameofSchool\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-NameofSchool\"><\/span><\/label>\n<\/p>\n<p><label> <b> 19.Address Of School \/ College \/ Institution (PASSED) <\/b>\n\t\t<split style=\"color: red\" ;>*\n\t\t<\/split><br>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"AddressOfSchool\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"AddressOfSchool\"><\/span><\/label>\n<\/p>\n<p><label> <b>20.Select your School States (PASSED) <\/b>\n\t\t<split style=\"color: red\" ;>*\n\t\t<\/split><br>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Passed_School_state\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"Passed_School_state\"><option value=\"\">\u2014Please choose an option\u2014<\/option><option value=\"Select One\">Select One<\/option><option value=\"Andaman and Nicobar Islands (union territory)\">Andaman and Nicobar Islands (union territory)<\/option><option value=\"Andhra Pradesh\">Andhra Pradesh<\/option><option value=\"Arunachal Pradesh\">Arunachal Pradesh<\/option><option value=\"Assam\">Assam<\/option><option value=\"Bihar\">Bihar<\/option><option value=\"Chandigarh (union territory)\">Chandigarh (union territory)<\/option><option value=\"Chhattisgarh\">Chhattisgarh<\/option><option value=\"Dadra and Nagar Haveli (union territory)\">Dadra and Nagar Haveli (union territory)<\/option><option value=\"Daman and Diu (union territory)\">Daman and Diu (union territory)<\/option><option value=\"Delhi (national capital territory)\">Delhi (national capital territory)<\/option><option value=\"Goa\">Goa<\/option><option value=\"Gujarat\">Gujarat<\/option><option value=\"Haryana\">Haryana<\/option><option value=\"Himachal Pradesh\">Himachal Pradesh<\/option><option value=\"Jammu and Kashmir (union territory)\">Jammu and Kashmir (union territory)<\/option><option value=\"Jharkhand\">Jharkhand<\/option><option value=\"Karnataka\">Karnataka<\/option><option value=\"Kerala\">Kerala<\/option><option value=\"Ladakh (union territory)\">Ladakh (union territory)<\/option><option value=\"Madhya Pradesh\">Madhya Pradesh<\/option><option value=\"Maharashtra\">Maharashtra<\/option><option value=\"Manipur\">Manipur<\/option><option value=\"Meghalaya\">Meghalaya<\/option><option value=\"Mizoram\">Mizoram<\/option><option value=\"Nagaland\">Nagaland<\/option><option value=\"Odisha\">Odisha<\/option><option value=\"Puducherry (union territory)\">Puducherry (union territory)<\/option><option value=\"Punjab\">Punjab<\/option><option value=\"Rajasthan\">Rajasthan<\/option><option value=\"Sikkim\">Sikkim<\/option><option value=\"Tamil Nadu\">Tamil Nadu<\/option><option value=\"Telangana\">Telangana<\/option><option value=\"Tripura\">Tripura<\/option><option value=\"Uttar Pradesh\">Uttar Pradesh<\/option><option value=\"Uttarakhand\">Uttarakhand<\/option><option value=\"West Bengal\">West Bengal<\/option><\/select><\/span><\/label>\n<\/p>\n<p><label> <b>21.Select your School City (PASSED)<\/b>\n\t\t<split style=\"color: red\" ;>*\n\t\t<\/split><br>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"menu-523SelectCities\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"menu-523SelectCities\"><option value=\"Select One\">Select One<\/option><option value=\"Port Blair\">Port Blair<\/option><option value=\"Adoni\">Adoni<\/option><option value=\"Amaravati\">Amaravati<\/option><option value=\"Anantapur\">Anantapur<\/option><option value=\"Chandragiri\">Chandragiri<\/option><option value=\"Chittoor\">Chittoor<\/option><option value=\"Dowlaiswaram\">Dowlaiswaram<\/option><option value=\"Eluru\">Eluru<\/option><option value=\"Guntur\">Guntur<\/option><option value=\"Kadapa\">Kadapa<\/option><option value=\"Kakinada\">Kakinada<\/option><option value=\"Kurnool\">Kurnool<\/option><option value=\"Machilipatnam\">Machilipatnam<\/option><option value=\"Nagarjunako\u1e47\u1e0da\">Nagarjunako\u1e47\u1e0da<\/option><option value=\"Rajahmundry\">Rajahmundry<\/option><option value=\"Srikakulam\">Srikakulam<\/option><option value=\"Tirupati\">Tirupati<\/option><option value=\"Vijayawada\">Vijayawada<\/option><option value=\"Visakhapatnam\">Visakhapatnam<\/option><option value=\"Vizianagaram\">Vizianagaram<\/option><option value=\"Yemmiganur\">Yemmiganur<\/option><option value=\"Itanagar\">Itanagar<\/option><option value=\"Adoni\">Adoni<\/option><option value=\"Amaravati\">Amaravati<\/option><option value=\"Anantapur\">Anantapur<\/option><option value=\"Chandragiri\">Chandragiri<\/option><option value=\"Chittoor\">Chittoor<\/option><option value=\"Dowlaiswaram\">Dowlaiswaram<\/option><option value=\"Eluru\">Eluru<\/option><option value=\"Guntur\">Guntur<\/option><option value=\"Kadapa\">Kadapa<\/option><option value=\"Kakinada\">Kakinada<\/option><option value=\"Kurnool\">Kurnool<\/option><option value=\"Machilipatnam\">Machilipatnam<\/option><option value=\"Nagarjunako\u1e47\u1e0da\">Nagarjunako\u1e47\u1e0da<\/option><option value=\"Rajahmundry\">Rajahmundry<\/option><option value=\"Srikakulam\">Srikakulam<\/option><option value=\"Tirupati\">Tirupati<\/option><option value=\"Vijayawada\">Vijayawada<\/option><option value=\"Visakhapatnam\">Visakhapatnam<\/option><option value=\"Vizianagaram\">Vizianagaram<\/option><option value=\"Yemmiganur\">Yemmiganur<\/option><option value=\"Itanagar\">Itanagar<\/option><option value=\"Dhuburi\">Dhuburi<\/option><option value=\"Dibrugarh\">Dibrugarh<\/option><option value=\"Dispur\">Dispur<\/option><option value=\"Guwahati\">Guwahati<\/option><option value=\"Jorhat\">Jorhat<\/option><option value=\"Nagaon\">Nagaon<\/option><option value=\"Sibsagar\">Sibsagar<\/option><option value=\"Silchar\">Silchar<\/option><option value=\"Tezpur\">Tezpur<\/option><option value=\"Tinsukia\">Tinsukia<\/option><option value=\"Ara\">Ara<\/option><option value=\"Baruni\">Baruni<\/option><option value=\"Begusarai\">Begusarai<\/option><option value=\"Bettiah\">Bettiah<\/option><option value=\"Bhagalpur\">Bhagalpur<\/option><option value=\"Bihar Sharif\">Bihar Sharif<\/option><option value=\"Bodh Gaya\">Bodh Gaya<\/option><option value=\"Buxar\">Buxar<\/option><option value=\"Chapra\">Chapra<\/option><option value=\"Darbhanga\">Darbhanga<\/option><option value=\"Dehri\">Dehri<\/option><option value=\"Dinapur Nizamat\">Dinapur Nizamat<\/option><option value=\"Gaya\">Gaya<\/option><option value=\"Hajipur\">Hajipur<\/option><option value=\"Jamalpur\">Jamalpur<\/option><option value=\"Katihar\">Katihar<\/option><option value=\"Madhubani\">Madhubani<\/option><option value=\"Motihari\">Motihari<\/option><option value=\"Munger\">Munger<\/option><option value=\"Muzaffarpur\">Muzaffarpur<\/option><option value=\"Patna\">Patna<\/option><option value=\"Purnia\">Purnia<\/option><option value=\"Pusa\">Pusa<\/option><option value=\"Saharsa\">Saharsa<\/option><option value=\"Samastipur\">Samastipur<\/option><option value=\"Sasaram\">Sasaram<\/option><option value=\"Sitamarhi\">Sitamarhi<\/option><option value=\"Siwan\">Siwan<\/option><option value=\"\"><\/option><option value=\"Ambikapur\">Ambikapur<\/option><option value=\"Bhilai\">Bhilai<\/option><option value=\"Bilaspur\">Bilaspur<\/option><option value=\"Dhamtari\">Dhamtari<\/option><option value=\"Durg\">Durg<\/option><option value=\"Jagdalpur\">Jagdalpur<\/option><option value=\"Raipur\">Raipur<\/option><option value=\"Rajnandgaon\">Rajnandgaon<\/option><option value=\"Silvassa\">Silvassa<\/option><option value=\"Daman\">Daman<\/option><option value=\"Diu\">Diu<\/option><option value=\"Delhi\">Delhi<\/option><option value=\"New Delhi\">New Delhi<\/option><option value=\"Madgaon\">Madgaon<\/option><option value=\"Panaji\">Panaji<\/option><option value=\"Ahmadabad\">Ahmadabad<\/option><option value=\"Amreli\">Amreli<\/option><option value=\"Bharuch\">Bharuch<\/option><option value=\"Bhavnagar\">Bhavnagar<\/option><option value=\"Bhuj\">Bhuj<\/option><option value=\"Dwarka\">Dwarka<\/option><option value=\"Gandhinagar\">Gandhinagar<\/option><option value=\"Godhra\">Godhra<\/option><option value=\"Jamnagar\">Jamnagar<\/option><option value=\"Junagadh\">Junagadh<\/option><option value=\"Kandla\">Kandla<\/option><option value=\"Khambhat\">Khambhat<\/option><option value=\"Kheda\">Kheda<\/option><option value=\"Mahesana\">Mahesana<\/option><option value=\"Morvi\">Morvi<\/option><option value=\"Nadiad\">Nadiad<\/option><option value=\"Navsari\">Navsari<\/option><option value=\"Okha\">Okha<\/option><option value=\"Palanpur\">Palanpur<\/option><option value=\"Patan\">Patan<\/option><option value=\"Porbandar\">Porbandar<\/option><option value=\"Rajkot\">Rajkot<\/option><option value=\"Surat\">Surat<\/option><option value=\"Surendranagar\">Surendranagar<\/option><option value=\"Valsad\">Valsad<\/option><option value=\"Veraval\">Veraval<\/option><option value=\"Ambala\">Ambala<\/option><option value=\"Bhiwani\">Bhiwani<\/option><option value=\"Chandigarh\">Chandigarh<\/option><option value=\"Faridabad\">Faridabad<\/option><option value=\"Firozpur Jhirka\">Firozpur Jhirka<\/option><option value=\"Gurgaon\">Gurgaon<\/option><option value=\"Hansi\">Hansi<\/option><option value=\"Hisar\">Hisar<\/option><option value=\"Jind\">Jind<\/option><option value=\"Kaithal\">Kaithal<\/option><option value=\"Karnal\">Karnal<\/option><option value=\"Kurukshetra\">Kurukshetra<\/option><option value=\"Panipat\">Panipat<\/option><option value=\"Pehowa\">Pehowa<\/option><option value=\"Rewari\">Rewari<\/option><option value=\"Rohtak\">Rohtak<\/option><option value=\"Sirsa\">Sirsa<\/option><option value=\"Sonipat\">Sonipat<\/option><option value=\"Bilaspur\">Bilaspur<\/option><option value=\"Chamba\">Chamba<\/option><option value=\"Dalhousie\">Dalhousie<\/option><option value=\"Dharmshala\">Dharmshala<\/option><option value=\"Hamirpur\">Hamirpur<\/option><option value=\"Kangra\">Kangra<\/option><option value=\"Kullu\">Kullu<\/option><option value=\"Mandi\">Mandi<\/option><option value=\"Nahan\">Nahan<\/option><option value=\"Shimla\">Shimla<\/option><option value=\"Una\">Una<\/option><option value=\"Anantnag\">Anantnag<\/option><option value=\"Baramula\">Baramula<\/option><option value=\"Doda\">Doda<\/option><option value=\"Gulmarg\">Gulmarg<\/option><option value=\"Jammu\">Jammu<\/option><option value=\"Kathua\">Kathua<\/option><option value=\"Punch\">Punch<\/option><option value=\"Rajauri\">Rajauri<\/option><option value=\"Srinagar\">Srinagar<\/option><option value=\"Udhampur\">Udhampur<\/option><option value=\"Bokaro\">Bokaro<\/option><option value=\"Chaibasa\">Chaibasa<\/option><option value=\"Deoghar\">Deoghar<\/option><option value=\"Dhanbad\">Dhanbad<\/option><option value=\"Dumka\">Dumka<\/option><option value=\"Giridih\">Giridih<\/option><option value=\"Hazaribag\">Hazaribag<\/option><option value=\"Jamshedpur\">Jamshedpur<\/option><option value=\"Jharia\">Jharia<\/option><option value=\"Rajmahal\">Rajmahal<\/option><option value=\"Ranchi\">Ranchi<\/option><option value=\"Saraikela\">Saraikela<\/option><option value=\"Badami\">Badami<\/option><option value=\"Ballari\">Ballari<\/option><option value=\"Bangalore\">Bangalore<\/option><option value=\"Belgavi\">Belgavi<\/option><option value=\"Bhadravati\">Bhadravati<\/option><option value=\"Bidar\">Bidar<\/option><option value=\"Chikkamagaluru\">Chikkamagaluru<\/option><option value=\"Chitradurga\">Chitradurga<\/option><option value=\"Davangere\">Davangere<\/option><option value=\"Halebid\">Halebid<\/option><option value=\"Hassan\">Hassan<\/option><option value=\"Hubballi-Dharwad\">Hubballi-Dharwad<\/option><option value=\"Kalaburagi\">Kalaburagi<\/option><option value=\"Kolar\">Kolar<\/option><option value=\"Madikeri\">Madikeri<\/option><option value=\"Mandya\">Mandya<\/option><option value=\"Mangaluru\">Mangaluru<\/option><option value=\"Mysuru\">Mysuru<\/option><option value=\"Raichur\">Raichur<\/option><option value=\"Shivamogga\">Shivamogga<\/option><option value=\"Shravanabelagola\">Shravanabelagola<\/option><option value=\"Shrirangapattana\">Shrirangapattana<\/option><option value=\"Tumkuru\">Tumkuru<\/option><option value=\"Alappuzha\">Alappuzha<\/option><option value=\"Badagara\">Badagara<\/option><option value=\"Idukki\">Idukki<\/option><option value=\"Kannur\">Kannur<\/option><option value=\"Kochi\">Kochi<\/option><option value=\"Kollam\">Kollam<\/option><option value=\"Kottayam\">Kottayam<\/option><option value=\"Kozhikode\">Kozhikode<\/option><option value=\"Mattancheri\">Mattancheri<\/option><option value=\"Palakkad\">Palakkad<\/option><option value=\"Thalassery\">Thalassery<\/option><option value=\"Thiruvananthapuram\">Thiruvananthapuram<\/option><option value=\"Thrissur\">Thrissur<\/option><option value=\"Balaghat\">Balaghat<\/option><option value=\"Barwani\">Barwani<\/option><option value=\"Betul\">Betul<\/option><option value=\"Bharhut\">Bharhut<\/option><option value=\"Bhind\">Bhind<\/option><option value=\"Bhojpur\">Bhojpur<\/option><option value=\"Bhopal\">Bhopal<\/option><option value=\"Burhanpur\">Burhanpur<\/option><option value=\"Chhatarpur\">Chhatarpur<\/option><option value=\"Chhindwara\">Chhindwara<\/option><option value=\"Damoh\">Damoh<\/option><option value=\"Datia\">Datia<\/option><option value=\"Dewas\">Dewas<\/option><option value=\"Dhar\">Dhar<\/option><option value=\"Guna\">Guna<\/option><option value=\"Gwalior\">Gwalior<\/option><option value=\"Hoshangabad\">Hoshangabad<\/option><option value=\"Indore\">Indore<\/option><option value=\"Itarsi\">Itarsi<\/option><option value=\"Jabalpur\">Jabalpur<\/option><option value=\"Jhabua\">Jhabua<\/option><option value=\"Khajuraho\">Khajuraho<\/option><option value=\"Khandwa\">Khandwa<\/option><option value=\"Khargon\">Khargon<\/option><option value=\"Maheshwar\">Maheshwar<\/option><option value=\"Mandla\">Mandla<\/option><option value=\"Mandsaur\">Mandsaur<\/option><option value=\"Mhow\">Mhow<\/option><option value=\"Morena\">Morena<\/option><option value=\"Murwara\">Murwara<\/option><option value=\"Narsimhapur\">Narsimhapur<\/option><option value=\"Narsinghgarh\">Narsinghgarh<\/option><option value=\"Narwar\">Narwar<\/option><option value=\"Neemuch\">Neemuch<\/option><option value=\"Nowgong\">Nowgong<\/option><option value=\"Orchha\">Orchha<\/option><option value=\"Panna\">Panna<\/option><option value=\"Raisen\">Raisen<\/option><option value=\"Rajgarh\">Rajgarh<\/option><option value=\"Ratlam\">Ratlam<\/option><option value=\"Rewa\">Rewa<\/option><option value=\"Sagar\">Sagar<\/option><option value=\"Sarangpur\">Sarangpur<\/option><option value=\"Satna\">Satna<\/option><option value=\"Sehore\">Sehore<\/option><option value=\"Seoni\">Seoni<\/option><option value=\"Shahdol\">Shahdol<\/option><option value=\"Shajapur\">Shajapur<\/option><option value=\"Sheopur\">Sheopur<\/option><option value=\"Shivpuri\">Shivpuri<\/option><option value=\"Ujjain\">Ujjain<\/option><option value=\"Vidisha\">Vidisha<\/option><option value=\"Ahmadnagar\">Ahmadnagar<\/option><option value=\"Akola\">Akola<\/option><option value=\"Amravati\">Amravati<\/option><option value=\"Aurangabad\">Aurangabad<\/option><option value=\"Bhandara\">Bhandara<\/option><option value=\"Bhusawal\">Bhusawal<\/option><option value=\"Bid\">Bid<\/option><option value=\"Buldana\">Buldana<\/option><option value=\"Chandrapur\">Chandrapur<\/option><option value=\"Daulatabad\">Daulatabad<\/option><option value=\"Dhule\">Dhule<\/option><option value=\"Jalgaon\">Jalgaon<\/option><option value=\"Kalyan\">Kalyan<\/option><option value=\"Karli\">Karli<\/option><option value=\"Kolhapur\">Kolhapur<\/option><option value=\"Mahabaleshwar\">Mahabaleshwar<\/option><option value=\"Malegaon\">Malegaon<\/option><option value=\"Matheran\">Matheran<\/option><option value=\"Mumbai\">Mumbai<\/option><option value=\"Nagpur\">Nagpur<\/option><option value=\"Nanded\">Nanded<\/option><option value=\"Nashik\">Nashik<\/option><option value=\"Osmanabad\">Osmanabad<\/option><option value=\"Pandharpur\">Pandharpur<\/option><option value=\"Parbhani\">Parbhani<\/option><option value=\"Pune\">Pune<\/option><option value=\"Ratnagiri\">Ratnagiri<\/option><option value=\"Sangli\">Sangli<\/option><option value=\"Satara\">Satara<\/option><option value=\"Sevagram\">Sevagram<\/option><option value=\"Solapur\">Solapur<\/option><option value=\"Thane\">Thane<\/option><option value=\"Ulhasnagar\">Ulhasnagar<\/option><option value=\"Vasai-Virar\">Vasai-Virar<\/option><option value=\"Wardha\">Wardha<\/option><option value=\"Yavatmal\">Yavatmal<\/option><option value=\"Imphal\">Imphal<\/option><option value=\"Cherrapunji\">Cherrapunji<\/option><option value=\"Shillong\">Shillong<\/option><option value=\"Aizawl\">Aizawl<\/option><option value=\"Lunglei\">Lunglei<\/option><option value=\"Kohima\">Kohima<\/option><option value=\"Mon\">Mon<\/option><option value=\"Phek\">Phek<\/option><option value=\"Wokha\">Wokha<\/option><option value=\"Zunheboto\">Zunheboto<\/option><option value=\"Balangir\">Balangir<\/option><option value=\"Baleshwar\">Baleshwar<\/option><option value=\"Baripada\">Baripada<\/option><option value=\"Bhubaneshwar\">Bhubaneshwar<\/option><option value=\"Brahmapur\">Brahmapur<\/option><option value=\"Cuttack\">Cuttack<\/option><option value=\"Dhenkanal\">Dhenkanal<\/option><option value=\"Keonjhar\">Keonjhar<\/option><option value=\"Konark\">Konark<\/option><option value=\"Koraput\">Koraput<\/option><option value=\"Paradip\">Paradip<\/option><option value=\"Phulabani\">Phulabani<\/option><option value=\"Puri\">Puri<\/option><option value=\"Sambalpur\">Sambalpur<\/option><option value=\"Udayagiri\">Udayagiri<\/option><option value=\"Karaikal\">Karaikal<\/option><option value=\"Mahe\">Mahe<\/option><option value=\"Puducherry\">Puducherry<\/option><option value=\"Yanam\">Yanam<\/option><option value=\"Amritsar\">Amritsar<\/option><option value=\"Batala\">Batala<\/option><option value=\"Chandigarh\">Chandigarh<\/option><option value=\"Faridkot\">Faridkot<\/option><option value=\"Firozpur\">Firozpur<\/option><option value=\"Gurdaspur\">Gurdaspur<\/option><option value=\"Hoshiarpur\">Hoshiarpur<\/option><option value=\"Jalandhar\">Jalandhar<\/option><option value=\"Kapurthala\">Kapurthala<\/option><option value=\"Ludhiana\">Ludhiana<\/option><option value=\"Nabha\">Nabha<\/option><option value=\"Patiala\">Patiala<\/option><option value=\"Rupnagar\">Rupnagar<\/option><option value=\"Sangrur\">Sangrur<\/option><option value=\"Abu\">Abu<\/option><option value=\"Ajmer\">Ajmer<\/option><option value=\"Alwar\">Alwar<\/option><option value=\"Amer\">Amer<\/option><option value=\"Barmer\">Barmer<\/option><option value=\"Beawar\">Beawar<\/option><option value=\"Bharatpur\">Bharatpur<\/option><option value=\"Bhilwara\">Bhilwara<\/option><option value=\"Bikaner\">Bikaner<\/option><option value=\"Bundi\">Bundi<\/option><option value=\"Chittaurgarh\">Chittaurgarh<\/option><option value=\"Churu\">Churu<\/option><option value=\"Dhaulpur\">Dhaulpur<\/option><option value=\"Dungarpur\">Dungarpur<\/option><option value=\"Ganganagar\">Ganganagar<\/option><option value=\"Hanumangarh\">Hanumangarh<\/option><option value=\"Jaipur\">Jaipur<\/option><option value=\"Jaisalmer\">Jaisalmer<\/option><option value=\"Jalor\">Jalor<\/option><option value=\"Jhalawar\">Jhalawar<\/option><option value=\"Jhunjhunu\">Jhunjhunu<\/option><option value=\"Jodhpur\">Jodhpur<\/option><option value=\"Kishangarh\">Kishangarh<\/option><option value=\"Kota\">Kota<\/option><option value=\"Merta\">Merta<\/option><option value=\"Nagaur\">Nagaur<\/option><option value=\"Nathdwara\">Nathdwara<\/option><option value=\"Pali\">Pali<\/option><option value=\"Phalodi\">Phalodi<\/option><option value=\"Pushkar\">Pushkar<\/option><option value=\"Sawai Madhopur\">Sawai Madhopur<\/option><option value=\"Shahpura\">Shahpura<\/option><option value=\"Sikar\">Sikar<\/option><option value=\"Sirohi\">Sirohi<\/option><option value=\"Tonk\">Tonk<\/option><option value=\"Udaipur\">Udaipur<\/option><option value=\"Gangtok\">Gangtok<\/option><option value=\"Gyalsing\">Gyalsing<\/option><option value=\"Lachung\">Lachung<\/option><option value=\"Mangan\">Mangan<\/option><option value=\"Arcot\">Arcot<\/option><option value=\"Chengalpattu\">Chengalpattu<\/option><option value=\"Chennai\">Chennai<\/option><option value=\"Chidambaram\">Chidambaram<\/option><option value=\"Coimbatore\">Coimbatore<\/option><option value=\"Cuddalore\">Cuddalore<\/option><option value=\"Dharmapuri\">Dharmapuri<\/option><option value=\"Dindigul\">Dindigul<\/option><option value=\"Erode\">Erode<\/option><option value=\"Kanchipuram\">Kanchipuram<\/option><option value=\"Kanniyakumari\">Kanniyakumari<\/option><option value=\"Kodaikanal\">Kodaikanal<\/option><option value=\"Kumbakonam\">Kumbakonam<\/option><option value=\"Madurai\">Madurai<\/option><option value=\"Mamallapuram\">Mamallapuram<\/option><option value=\"Nagappattinam\">Nagappattinam<\/option><option value=\"Nagercoil\">Nagercoil<\/option><option value=\"Palayankottai\">Palayankottai<\/option><option value=\"Pudukkottai\">Pudukkottai<\/option><option value=\"Rajapalaiyam\">Rajapalaiyam<\/option><option value=\"Ramanathapuram\">Ramanathapuram<\/option><option value=\"Salem\">Salem<\/option><option value=\"Thanjavur\">Thanjavur<\/option><option value=\"Tiruchchirappalli\">Tiruchchirappalli<\/option><option value=\"Tirunelveli\">Tirunelveli<\/option><option value=\"Tiruppur\">Tiruppur<\/option><option value=\"Tuticorin\">Tuticorin<\/option><option value=\"Udhagamandalam\">Udhagamandalam<\/option><option value=\"Vellore\">Vellore<\/option><option value=\"Hyderabad\">Hyderabad<\/option><option value=\"Karimnagar\">Karimnagar<\/option><option value=\"Khammam\">Khammam<\/option><option value=\"Mahbubnagar\">Mahbubnagar<\/option><option value=\"Nizamabad\">Nizamabad<\/option><option value=\"Sangareddi\">Sangareddi<\/option><option value=\"Warangal\">Warangal<\/option><option value=\"Agartala\">Agartala<\/option><option value=\"Agra\">Agra<\/option><option value=\"Aligarh\">Aligarh<\/option><option value=\"Amroha\">Amroha<\/option><option value=\"Ayodhya\">Ayodhya<\/option><option value=\"Azamgarh\">Azamgarh<\/option><option value=\"Bahraich\">Bahraich<\/option><option value=\"Ballia\">Ballia<\/option><option value=\"Banda\">Banda<\/option><option value=\"Bara Banki\">Bara Banki<\/option><option value=\"Bareilly\">Bareilly<\/option><option value=\"Basti\">Basti<\/option><option value=\"Bijnor\">Bijnor<\/option><option value=\"Bithur\">Bithur<\/option><option value=\"Budaun\">Budaun<\/option><option value=\"Bulandshahr\">Bulandshahr<\/option><option value=\"Deoria\">Deoria<\/option><option value=\"Etah\">Etah<\/option><option value=\"Etawah\">Etawah<\/option><option value=\"Faizabad\">Faizabad<\/option><option value=\"Farrukhabad-cum-Fatehgarh\">Farrukhabad-cum-Fatehgarh<\/option><option value=\"Fatehpur\">Fatehpur<\/option><option value=\"Fatehpur Sikri\">Fatehpur Sikri<\/option><option value=\"Ghaziabad\">Ghaziabad<\/option><option value=\"Ghazipur\">Ghazipur<\/option><option value=\"Gonda\">Gonda<\/option><option value=\"Gorakhpur\">Gorakhpur<\/option><option value=\"Hamirpur\">Hamirpur<\/option><option value=\"Hardoi\">Hardoi<\/option><option value=\"Hathras\">Hathras<\/option><option value=\"Jalaun\">Jalaun<\/option><option value=\"Jaunpur\">Jaunpur<\/option><option value=\"Jhansi\">Jhansi<\/option><option value=\"Kannauj\">Kannauj<\/option><option value=\"Kanpur\">Kanpur<\/option><option value=\"Lakhimpur\">Lakhimpur<\/option><option value=\"Lalitpur\">Lalitpur<\/option><option value=\"Lucknow\">Lucknow<\/option><option value=\"Mainpuri\">Mainpuri<\/option><option value=\"Mathura\">Mathura<\/option><option value=\"Meerut\">Meerut<\/option><option value=\"Mirzapur-Vindhyachal\">Mirzapur-Vindhyachal<\/option><option value=\"Moradabad\">Moradabad<\/option><option value=\"Muzaffarnagar\">Muzaffarnagar<\/option><option value=\"Partapgarh\">Partapgarh<\/option><option value=\"Pilibhit\">Pilibhit<\/option><option value=\"Prayagraj\">Prayagraj<\/option><option value=\"Rae Bareli\">Rae Bareli<\/option><option value=\"Rampur\">Rampur<\/option><option value=\"Saharanpur\">Saharanpur<\/option><option value=\"Sambhal\">Sambhal<\/option><option value=\"Shahjahanpur\">Shahjahanpur<\/option><option value=\"Sitapur\">Sitapur<\/option><option value=\"Sultanpur\">Sultanpur<\/option><option value=\"Tehri\">Tehri<\/option><option value=\"Varanasi\">Varanasi<\/option><option value=\"Almora\">Almora<\/option><option value=\"Dehra Dun\">Dehra Dun<\/option><option value=\"Haridwar\">Haridwar<\/option><option value=\"Mussoorie\">Mussoorie<\/option><option value=\"Nainital\">Nainital<\/option><option value=\"Pithoragarh\">Pithoragarh<\/option><option value=\"Alipore\">Alipore<\/option><option value=\"Alipur Duar\">Alipur Duar<\/option><option value=\"Asansol\">Asansol<\/option><option value=\"Baharampur\">Baharampur<\/option><option value=\"Bally\">Bally<\/option><option value=\"Balurghat\">Balurghat<\/option><option value=\"Bankura\">Bankura<\/option><option value=\"Baranagar\">Baranagar<\/option><option value=\"Barasat\">Barasat<\/option><option value=\"Barrackpore\">Barrackpore<\/option><option value=\"Basirhat\">Basirhat<\/option><option value=\"Bhatpara\">Bhatpara<\/option><option value=\"Bishnupur\">Bishnupur<\/option><option value=\"Budge Budge\">Budge Budge<\/option><option value=\"Burdwan\">Burdwan<\/option><option value=\"Chandernagore\">Chandernagore<\/option><option value=\"Darjiling\">Darjiling<\/option><option value=\"Diamond Harbour\">Diamond Harbour<\/option><option value=\"Dum Dum\">Dum Dum<\/option><option value=\"Durgapur\">Durgapur<\/option><option value=\"Halisahar\">Halisahar<\/option><option value=\"Haora\">Haora<\/option><option value=\"Hugli\">Hugli<\/option><option value=\"Ingraj Bazar\">Ingraj Bazar<\/option><option value=\"Jalpaiguri\">Jalpaiguri<\/option><option value=\"Kalimpong\">Kalimpong<\/option><option value=\"Kamarhati\">Kamarhati<\/option><option value=\"Kanchrapara\">Kanchrapara<\/option><option value=\"Kharagpur\">Kharagpur<\/option><option value=\"Koch Bihar\">Koch Bihar<\/option><option value=\"Kolkata\">Kolkata<\/option><option value=\"Krishnanagar\">Krishnanagar<\/option><option value=\"Malda\">Malda<\/option><option value=\"Midnapore\">Midnapore<\/option><option value=\"Murshidabad\">Murshidabad<\/option><option value=\"Navadwip\">Navadwip<\/option><option value=\"Palashi\">Palashi<\/option><option value=\"Panihati\">Panihati<\/option><option value=\"Purulia\">Purulia<\/option><option value=\"Raiganj\">Raiganj<\/option><option value=\"Santipur\">Santipur<\/option><option value=\"Shantiniketan\">Shantiniketan<\/option><option value=\"Shrirampur\">Shrirampur<\/option><option value=\"Siliguri\">Siliguri<\/option><option value=\"Siuri\">Siuri<\/option><option value=\"Tamluk\">Tamluk<\/option><option value=\"Titagarh\">Titagarh<\/option><option value=\"Others Cities\">Others Cities<\/option><\/select><\/span><\/label>\n<\/p>\n<p><label><b> 22A.Mention your School City Name: (If Your City\/Town not in above list)<\/b><br>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"If_required_Passed_Cities\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"If_required_Passed_Cities\"><\/span><br>\n<\/label>\n<\/p>\n<p><label> <b>23.Pin Code of School \/ College \/ Institution (PASSED)\n\t\t\t<split style=\"color: red\" ;>*\n\t\t\t<\/split> <\/b><\/label>\n<\/p>\n<p style=\"Font-size:15px\" ;>(Please enter correct pincode as per school Address)\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"PinCodeofSchool\"><input size=\"40\" maxlength=\"6\" minlength=\"5\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"PinCodeofSchool\"><\/span>\n<\/p>\n\n<!---------------------------------- END Student's Passed Information---------->\n\n<!--------------------------------------START STUDENT's Passed Information------------------->\n<p><label> <b>24.Subjects<\/b>\n\t\t<split style=\"color: red\" ;>*\n\t\t<\/split><\/label><br>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-PassedSubject\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"checkbox-PassedSubject[]\" value=\"Maths \/ Mathematics\"><span class=\"wpcf7-list-item-label\">Maths \/ Mathematics<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-PassedSubject[]\" value=\"Algebra\"><span class=\"wpcf7-list-item-label\">Algebra<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-PassedSubject[]\" value=\"Geometry\"><span class=\"wpcf7-list-item-label\">Geometry<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-PassedSubject[]\" value=\"Biology\"><span class=\"wpcf7-list-item-label\">Biology<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-PassedSubject[]\" value=\"Physics\"><span class=\"wpcf7-list-item-label\">Physics<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-PassedSubject[]\" value=\"Chemistry\"><span class=\"wpcf7-list-item-label\">Chemistry<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-PassedSubject[]\" value=\"Geography\"><span class=\"wpcf7-list-item-label\">Geography<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-PassedSubject[]\" value=\"History\"><span class=\"wpcf7-list-item-label\">History<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-PassedSubject[]\" value=\"Citizenship\"><span class=\"wpcf7-list-item-label\">Citizenship<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-PassedSubject[]\" value=\"Physical Education (P.E)\"><span class=\"wpcf7-list-item-label\">Physical Education (P.E)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-PassedSubject[]\" value=\"Business Studies\"><span class=\"wpcf7-list-item-label\">Business Studies<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-PassedSubject[]\" value=\"Home Economics\"><span class=\"wpcf7-list-item-label\">Home Economics<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-PassedSubject[]\" value=\"Trigonometry\"><span class=\"wpcf7-list-item-label\">Trigonometry<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-PassedSubject[]\" value=\"Statistics\"><span class=\"wpcf7-list-item-label\">Statistics<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-PassedSubject[]\" value=\"English\"><span class=\"wpcf7-list-item-label\">English<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-PassedSubject[]\" value=\"Hindi\"><span class=\"wpcf7-list-item-label\">Hindi<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-PassedSubject[]\" value=\"Bengali\"><span class=\"wpcf7-list-item-label\">Bengali<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-PassedSubject[]\" value=\"Computer Application\"><span class=\"wpcf7-list-item-label\">Computer Application<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-PassedSubject[]\" value=\"Statistical\"><span class=\"wpcf7-list-item-label\">Statistical<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-PassedSubject[]\" value=\"Economics\"><span class=\"wpcf7-list-item-label\">Economics<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-PassedSubject[]\" value=\"Computer Science\"><span class=\"wpcf7-list-item-label\">Computer Science<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-PassedSubject[]\" value=\"Science\"><span class=\"wpcf7-list-item-label\">Science<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-PassedSubject[]\" value=\"Sanskrit\"><span class=\"wpcf7-list-item-label\">Sanskrit<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-PassedSubject[]\" value=\"Accounts\"><span class=\"wpcf7-list-item-label\">Accounts<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-PassedSubject[]\" value=\"Social Science\"><span class=\"wpcf7-list-item-label\">Social Science<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-PassedSubject[]\" value=\"Physical Science\"><span class=\"wpcf7-list-item-label\">Physical Science<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-PassedSubject[]\" value=\"Life Science\"><span class=\"wpcf7-list-item-label\">Life Science<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-PassedSubject[]\" value=\"Urdu\"><span class=\"wpcf7-list-item-label\">Urdu<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"checkbox-PassedSubject[]\" value=\"Other Subjects\"><span class=\"wpcf7-list-item-label\">Other Subjects<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label> <b>24A.If Others Subject, Please Specify (Passed) <\/b><br>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"SubjectSpecifyPassed\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"SubjectSpecifyPassed\"><\/span><\/label>\n<\/p>\n<p><label> <b>25. Name Of School \/ College \/ Institution (PRESENTLY PURSUING)\n\t\t\t<split style=\"color: red\" ;>*\n\t\t\t<\/split><\/b><br>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"PursuSchoolName\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"PursuSchoolName\"><\/span><\/label>\n<\/p>\n<p><label> <b>26.Address Of School \/ College \/ Institution (PRESENTLY PURSUING)\n\t\t\t<split style=\"color: red\" ;>*\n\t\t\t<\/split><\/b><br>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"PursuSchoolAddress\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"PursuSchoolAddress\"><\/span><\/label>\n<\/p>\n<p><label> <b>27. Select your School States (PRESENTLY PURSUING)\n\t\t\t<split style=\"color: red\" ;>*\n\t\t\t<\/split><br>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"PursuSchoolStates\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"PursuSchoolStates\"><option value=\"\">\u2014Please choose an option\u2014<\/option><option value=\"Select One\">Select One<\/option><option value=\"Select One\">Select One<\/option><option value=\"Andaman and Nicobar Islands (union territory)\">Andaman and Nicobar Islands (union territory)<\/option><option value=\"Andhra Pradesh\">Andhra Pradesh<\/option><option value=\"Arunachal Pradesh\">Arunachal Pradesh<\/option><option value=\"Assam\">Assam<\/option><option value=\"Bihar\">Bihar<\/option><option value=\"Chandigarh (union territory)\">Chandigarh (union territory)<\/option><option value=\"Chhattisgarh\">Chhattisgarh<\/option><option value=\"Dadra and Nagar Haveli (union territory)\">Dadra and Nagar Haveli (union territory)<\/option><option value=\"Daman and Diu (union territory)\">Daman and Diu (union territory)<\/option><option value=\"Delhi (national capital territory)\">Delhi (national capital territory)<\/option><option value=\"Goa\">Goa<\/option><option value=\"Gujarat\">Gujarat<\/option><option value=\"Haryana\">Haryana<\/option><option value=\"Himachal Pradesh\">Himachal Pradesh<\/option><option value=\"Jammu and Kashmir (union territory)\">Jammu and Kashmir (union territory)<\/option><option value=\"Jharkhand\">Jharkhand<\/option><option value=\"Karnataka\">Karnataka<\/option><option value=\"Kerala\">Kerala<\/option><option value=\"Ladakh (union territory)\">Ladakh (union territory)<\/option><option value=\"Madhya Pradesh\">Madhya Pradesh<\/option><option value=\"Maharashtra\">Maharashtra<\/option><option value=\"Manipur\">Manipur<\/option><option value=\"Meghalaya\">Meghalaya<\/option><option value=\"Mizoram\">Mizoram<\/option><option value=\"Nagaland\">Nagaland<\/option><option value=\"Odisha\">Odisha<\/option><option value=\"Puducherry (union territory)\">Puducherry (union territory)<\/option><option value=\"Punjab\">Punjab<\/option><option value=\"Rajasthan\">Rajasthan<\/option><option value=\"Sikkim\">Sikkim<\/option><option value=\"Tamil Nadu\">Tamil Nadu<\/option><option value=\"Telangana\">Telangana<\/option><option value=\"Tripura\">Tripura<\/option><option value=\"Uttar Pradesh\">Uttar Pradesh<\/option><option value=\"Uttarakhand\">Uttarakhand<\/option><option value=\"West Bengal\">West Bengal<\/option><\/select><\/span><\/b><\/label>\n<\/p>\n<p><label> <b>28.Select your School Cities (PRESENTLY PURSUING)\n\t\t\t<split style=\"color: red\" ;>*\n\t\t\t<\/split><br>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Pursu_School_Cities\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"Pursu_School_Cities\"><option value=\"\">\u2014Please choose an option\u2014<\/option><option value=\"Select One\">Select One<\/option><option value=\"Port Blair\">Port Blair<\/option><option value=\"Adoni\">Adoni<\/option><option value=\"Amaravati\">Amaravati<\/option><option value=\"Anantapur\">Anantapur<\/option><option value=\"Chandragiri\">Chandragiri<\/option><option value=\"Chittoor\">Chittoor<\/option><option value=\"Dowlaiswaram\">Dowlaiswaram<\/option><option value=\"Eluru\">Eluru<\/option><option value=\"Guntur\">Guntur<\/option><option value=\"Kadapa\">Kadapa<\/option><option value=\"Kakinada\">Kakinada<\/option><option value=\"Kurnool\">Kurnool<\/option><option value=\"Machilipatnam\">Machilipatnam<\/option><option value=\"Nagarjunako\u1e47\u1e0da\">Nagarjunako\u1e47\u1e0da<\/option><option value=\"Rajahmundry\">Rajahmundry<\/option><option value=\"Srikakulam\">Srikakulam<\/option><option value=\"Tirupati\">Tirupati<\/option><option value=\"Vijayawada\">Vijayawada<\/option><option value=\"Visakhapatnam\">Visakhapatnam<\/option><option value=\"Vizianagaram\">Vizianagaram<\/option><option value=\"Yemmiganur\">Yemmiganur<\/option><option value=\"Itanagar\">Itanagar<\/option><option value=\"Adoni\">Adoni<\/option><option value=\"Amaravati\">Amaravati<\/option><option value=\"Anantapur\">Anantapur<\/option><option value=\"Chandragiri\">Chandragiri<\/option><option value=\"Chittoor\">Chittoor<\/option><option value=\"Dowlaiswaram\">Dowlaiswaram<\/option><option value=\"Eluru\">Eluru<\/option><option value=\"Guntur\">Guntur<\/option><option value=\"Kadapa\">Kadapa<\/option><option value=\"Kakinada\">Kakinada<\/option><option value=\"Kurnool\">Kurnool<\/option><option value=\"Machilipatnam\">Machilipatnam<\/option><option value=\"Nagarjunako\u1e47\u1e0da\">Nagarjunako\u1e47\u1e0da<\/option><option value=\"Rajahmundry\">Rajahmundry<\/option><option value=\"Srikakulam\">Srikakulam<\/option><option value=\"Tirupati\">Tirupati<\/option><option value=\"Vijayawada\">Vijayawada<\/option><option value=\"Visakhapatnam\">Visakhapatnam<\/option><option value=\"Vizianagaram\">Vizianagaram<\/option><option value=\"Yemmiganur\">Yemmiganur<\/option><option value=\"Itanagar\">Itanagar<\/option><option value=\"Dhuburi\">Dhuburi<\/option><option value=\"Dibrugarh\">Dibrugarh<\/option><option value=\"Dispur\">Dispur<\/option><option value=\"Guwahati\">Guwahati<\/option><option value=\"Jorhat\">Jorhat<\/option><option value=\"Nagaon\">Nagaon<\/option><option value=\"Sibsagar\">Sibsagar<\/option><option value=\"Silchar\">Silchar<\/option><option value=\"Tezpur\">Tezpur<\/option><option value=\"Tinsukia\">Tinsukia<\/option><option value=\"Ara\">Ara<\/option><option value=\"Baruni\">Baruni<\/option><option value=\"Begusarai\">Begusarai<\/option><option value=\"Bettiah\">Bettiah<\/option><option value=\"Bhagalpur\">Bhagalpur<\/option><option value=\"Bihar Sharif\">Bihar Sharif<\/option><option value=\"Bodh Gaya\">Bodh Gaya<\/option><option value=\"Buxar\">Buxar<\/option><option value=\"Chapra\">Chapra<\/option><option value=\"Darbhanga\">Darbhanga<\/option><option value=\"Dehri\">Dehri<\/option><option value=\"Dinapur Nizamat\">Dinapur Nizamat<\/option><option value=\"Gaya\">Gaya<\/option><option value=\"Hajipur\">Hajipur<\/option><option value=\"Jamalpur\">Jamalpur<\/option><option value=\"Katihar\">Katihar<\/option><option value=\"Madhubani\">Madhubani<\/option><option value=\"Motihari\">Motihari<\/option><option value=\"Munger\">Munger<\/option><option value=\"Muzaffarpur\">Muzaffarpur<\/option><option value=\"Patna\">Patna<\/option><option value=\"Purnia\">Purnia<\/option><option value=\"Pusa\">Pusa<\/option><option value=\"Saharsa\">Saharsa<\/option><option value=\"Samastipur\">Samastipur<\/option><option value=\"Sasaram\">Sasaram<\/option><option value=\"Sitamarhi\">Sitamarhi<\/option><option value=\"Siwan\">Siwan<\/option><option value=\"\"><\/option><option value=\"Ambikapur\">Ambikapur<\/option><option value=\"Bhilai\">Bhilai<\/option><option value=\"Bilaspur\">Bilaspur<\/option><option value=\"Dhamtari\">Dhamtari<\/option><option value=\"Durg\">Durg<\/option><option value=\"Jagdalpur\">Jagdalpur<\/option><option value=\"Raipur\">Raipur<\/option><option value=\"Rajnandgaon\">Rajnandgaon<\/option><option value=\"Silvassa\">Silvassa<\/option><option value=\"Daman\">Daman<\/option><option value=\"Diu\">Diu<\/option><option value=\"Delhi\">Delhi<\/option><option value=\"New Delhi\">New Delhi<\/option><option value=\"Madgaon\">Madgaon<\/option><option value=\"Panaji\">Panaji<\/option><option value=\"Ahmadabad\">Ahmadabad<\/option><option value=\"Amreli\">Amreli<\/option><option value=\"Bharuch\">Bharuch<\/option><option value=\"Bhavnagar\">Bhavnagar<\/option><option value=\"Bhuj\">Bhuj<\/option><option value=\"Dwarka\">Dwarka<\/option><option value=\"Gandhinagar\">Gandhinagar<\/option><option value=\"Godhra\">Godhra<\/option><option value=\"Jamnagar\">Jamnagar<\/option><option value=\"Junagadh\">Junagadh<\/option><option value=\"Kandla\">Kandla<\/option><option value=\"Khambhat\">Khambhat<\/option><option value=\"Kheda\">Kheda<\/option><option value=\"Mahesana\">Mahesana<\/option><option value=\"Morvi\">Morvi<\/option><option value=\"Nadiad\">Nadiad<\/option><option value=\"Navsari\">Navsari<\/option><option value=\"Okha\">Okha<\/option><option value=\"Palanpur\">Palanpur<\/option><option value=\"Patan\">Patan<\/option><option value=\"Porbandar\">Porbandar<\/option><option value=\"Rajkot\">Rajkot<\/option><option value=\"Surat\">Surat<\/option><option value=\"Surendranagar\">Surendranagar<\/option><option value=\"Valsad\">Valsad<\/option><option value=\"Veraval\">Veraval<\/option><option value=\"Ambala\">Ambala<\/option><option value=\"Bhiwani\">Bhiwani<\/option><option value=\"Chandigarh\">Chandigarh<\/option><option value=\"Faridabad\">Faridabad<\/option><option value=\"Firozpur Jhirka\">Firozpur Jhirka<\/option><option value=\"Gurgaon\">Gurgaon<\/option><option value=\"Hansi\">Hansi<\/option><option value=\"Hisar\">Hisar<\/option><option value=\"Jind\">Jind<\/option><option value=\"Kaithal\">Kaithal<\/option><option value=\"Karnal\">Karnal<\/option><option value=\"Kurukshetra\">Kurukshetra<\/option><option value=\"Panipat\">Panipat<\/option><option value=\"Pehowa\">Pehowa<\/option><option value=\"Rewari\">Rewari<\/option><option value=\"Rohtak\">Rohtak<\/option><option value=\"Sirsa\">Sirsa<\/option><option value=\"Sonipat\">Sonipat<\/option><option value=\"Bilaspur\">Bilaspur<\/option><option value=\"Chamba\">Chamba<\/option><option value=\"Dalhousie\">Dalhousie<\/option><option value=\"Dharmshala\">Dharmshala<\/option><option value=\"Hamirpur\">Hamirpur<\/option><option value=\"Kangra\">Kangra<\/option><option value=\"Kullu\">Kullu<\/option><option value=\"Mandi\">Mandi<\/option><option value=\"Nahan\">Nahan<\/option><option value=\"Shimla\">Shimla<\/option><option value=\"Una\">Una<\/option><option value=\"Anantnag\">Anantnag<\/option><option value=\"Baramula\">Baramula<\/option><option value=\"Doda\">Doda<\/option><option value=\"Gulmarg\">Gulmarg<\/option><option value=\"Jammu\">Jammu<\/option><option value=\"Kathua\">Kathua<\/option><option value=\"Punch\">Punch<\/option><option value=\"Rajauri\">Rajauri<\/option><option value=\"Srinagar\">Srinagar<\/option><option value=\"Udhampur\">Udhampur<\/option><option value=\"Bokaro\">Bokaro<\/option><option value=\"Chaibasa\">Chaibasa<\/option><option value=\"Deoghar\">Deoghar<\/option><option value=\"Dhanbad\">Dhanbad<\/option><option value=\"Dumka\">Dumka<\/option><option value=\"Giridih\">Giridih<\/option><option value=\"Hazaribag\">Hazaribag<\/option><option value=\"Jamshedpur\">Jamshedpur<\/option><option value=\"Jharia\">Jharia<\/option><option value=\"Rajmahal\">Rajmahal<\/option><option value=\"Ranchi\">Ranchi<\/option><option value=\"Saraikela\">Saraikela<\/option><option value=\"Badami\">Badami<\/option><option value=\"Ballari\">Ballari<\/option><option value=\"Bangalore\">Bangalore<\/option><option value=\"Belgavi\">Belgavi<\/option><option value=\"Bhadravati\">Bhadravati<\/option><option value=\"Bidar\">Bidar<\/option><option value=\"Chikkamagaluru\">Chikkamagaluru<\/option><option value=\"Chitradurga\">Chitradurga<\/option><option value=\"Davangere\">Davangere<\/option><option value=\"Halebid\">Halebid<\/option><option value=\"Hassan\">Hassan<\/option><option value=\"Hubballi-Dharwad\">Hubballi-Dharwad<\/option><option value=\"Kalaburagi\">Kalaburagi<\/option><option value=\"Kolar\">Kolar<\/option><option value=\"Madikeri\">Madikeri<\/option><option value=\"Mandya\">Mandya<\/option><option value=\"Mangaluru\">Mangaluru<\/option><option value=\"Mysuru\">Mysuru<\/option><option value=\"Raichur\">Raichur<\/option><option value=\"Shivamogga\">Shivamogga<\/option><option value=\"Shravanabelagola\">Shravanabelagola<\/option><option value=\"Shrirangapattana\">Shrirangapattana<\/option><option value=\"Tumkuru\">Tumkuru<\/option><option value=\"Alappuzha\">Alappuzha<\/option><option value=\"Badagara\">Badagara<\/option><option value=\"Idukki\">Idukki<\/option><option value=\"Kannur\">Kannur<\/option><option value=\"Kochi\">Kochi<\/option><option value=\"Kollam\">Kollam<\/option><option value=\"Kottayam\">Kottayam<\/option><option value=\"Kozhikode\">Kozhikode<\/option><option value=\"Mattancheri\">Mattancheri<\/option><option value=\"Palakkad\">Palakkad<\/option><option value=\"Thalassery\">Thalassery<\/option><option value=\"Thiruvananthapuram\">Thiruvananthapuram<\/option><option value=\"Thrissur\">Thrissur<\/option><option value=\"Balaghat\">Balaghat<\/option><option value=\"Barwani\">Barwani<\/option><option value=\"Betul\">Betul<\/option><option value=\"Bharhut\">Bharhut<\/option><option value=\"Bhind\">Bhind<\/option><option value=\"Bhojpur\">Bhojpur<\/option><option value=\"Bhopal\">Bhopal<\/option><option value=\"Burhanpur\">Burhanpur<\/option><option value=\"Chhatarpur\">Chhatarpur<\/option><option value=\"Chhindwara\">Chhindwara<\/option><option value=\"Damoh\">Damoh<\/option><option value=\"Datia\">Datia<\/option><option value=\"Dewas\">Dewas<\/option><option value=\"Dhar\">Dhar<\/option><option value=\"Guna\">Guna<\/option><option value=\"Gwalior\">Gwalior<\/option><option value=\"Hoshangabad\">Hoshangabad<\/option><option value=\"Indore\">Indore<\/option><option value=\"Itarsi\">Itarsi<\/option><option value=\"Jabalpur\">Jabalpur<\/option><option value=\"Jhabua\">Jhabua<\/option><option value=\"Khajuraho\">Khajuraho<\/option><option value=\"Khandwa\">Khandwa<\/option><option value=\"Khargon\">Khargon<\/option><option value=\"Maheshwar\">Maheshwar<\/option><option value=\"Mandla\">Mandla<\/option><option value=\"Mandsaur\">Mandsaur<\/option><option value=\"Mhow\">Mhow<\/option><option value=\"Morena\">Morena<\/option><option value=\"Murwara\">Murwara<\/option><option value=\"Narsimhapur\">Narsimhapur<\/option><option value=\"Narsinghgarh\">Narsinghgarh<\/option><option value=\"Narwar\">Narwar<\/option><option value=\"Neemuch\">Neemuch<\/option><option value=\"Nowgong\">Nowgong<\/option><option value=\"Orchha\">Orchha<\/option><option value=\"Panna\">Panna<\/option><option value=\"Raisen\">Raisen<\/option><option value=\"Rajgarh\">Rajgarh<\/option><option value=\"Ratlam\">Ratlam<\/option><option value=\"Rewa\">Rewa<\/option><option value=\"Sagar\">Sagar<\/option><option value=\"Sarangpur\">Sarangpur<\/option><option value=\"Satna\">Satna<\/option><option value=\"Sehore\">Sehore<\/option><option value=\"Seoni\">Seoni<\/option><option value=\"Shahdol\">Shahdol<\/option><option value=\"Shajapur\">Shajapur<\/option><option value=\"Sheopur\">Sheopur<\/option><option value=\"Shivpuri\">Shivpuri<\/option><option value=\"Ujjain\">Ujjain<\/option><option value=\"Vidisha\">Vidisha<\/option><option value=\"Ahmadnagar\">Ahmadnagar<\/option><option value=\"Akola\">Akola<\/option><option value=\"Amravati\">Amravati<\/option><option value=\"Aurangabad\">Aurangabad<\/option><option value=\"Bhandara\">Bhandara<\/option><option value=\"Bhusawal\">Bhusawal<\/option><option value=\"Bid\">Bid<\/option><option value=\"Buldana\">Buldana<\/option><option value=\"Chandrapur\">Chandrapur<\/option><option value=\"Daulatabad\">Daulatabad<\/option><option value=\"Dhule\">Dhule<\/option><option value=\"Jalgaon\">Jalgaon<\/option><option value=\"Kalyan\">Kalyan<\/option><option value=\"Karli\">Karli<\/option><option value=\"Kolhapur\">Kolhapur<\/option><option value=\"Mahabaleshwar\">Mahabaleshwar<\/option><option value=\"Malegaon\">Malegaon<\/option><option value=\"Matheran\">Matheran<\/option><option value=\"Mumbai\">Mumbai<\/option><option value=\"Nagpur\">Nagpur<\/option><option value=\"Nanded\">Nanded<\/option><option value=\"Nashik\">Nashik<\/option><option value=\"Osmanabad\">Osmanabad<\/option><option value=\"Pandharpur\">Pandharpur<\/option><option value=\"Parbhani\">Parbhani<\/option><option value=\"Pune\">Pune<\/option><option value=\"Ratnagiri\">Ratnagiri<\/option><option value=\"Sangli\">Sangli<\/option><option value=\"Satara\">Satara<\/option><option value=\"Sevagram\">Sevagram<\/option><option value=\"Solapur\">Solapur<\/option><option value=\"Thane\">Thane<\/option><option value=\"Ulhasnagar\">Ulhasnagar<\/option><option value=\"Vasai-Virar\">Vasai-Virar<\/option><option value=\"Wardha\">Wardha<\/option><option value=\"Yavatmal\">Yavatmal<\/option><option value=\"Imphal\">Imphal<\/option><option value=\"Cherrapunji\">Cherrapunji<\/option><option value=\"Shillong\">Shillong<\/option><option value=\"Aizawl\">Aizawl<\/option><option value=\"Lunglei\">Lunglei<\/option><option value=\"Kohima\">Kohima<\/option><option value=\"Mon\">Mon<\/option><option value=\"Phek\">Phek<\/option><option value=\"Wokha\">Wokha<\/option><option value=\"Zunheboto\">Zunheboto<\/option><option value=\"Balangir\">Balangir<\/option><option value=\"Baleshwar\">Baleshwar<\/option><option value=\"Baripada\">Baripada<\/option><option value=\"Bhubaneshwar\">Bhubaneshwar<\/option><option value=\"Brahmapur\">Brahmapur<\/option><option value=\"Cuttack\">Cuttack<\/option><option value=\"Dhenkanal\">Dhenkanal<\/option><option value=\"Keonjhar\">Keonjhar<\/option><option value=\"Konark\">Konark<\/option><option value=\"Koraput\">Koraput<\/option><option value=\"Paradip\">Paradip<\/option><option value=\"Phulabani\">Phulabani<\/option><option value=\"Puri\">Puri<\/option><option value=\"Sambalpur\">Sambalpur<\/option><option value=\"Udayagiri\">Udayagiri<\/option><option value=\"Karaikal\">Karaikal<\/option><option value=\"Mahe\">Mahe<\/option><option value=\"Puducherry\">Puducherry<\/option><option value=\"Yanam\">Yanam<\/option><option value=\"Amritsar\">Amritsar<\/option><option value=\"Batala\">Batala<\/option><option value=\"Chandigarh\">Chandigarh<\/option><option value=\"Faridkot\">Faridkot<\/option><option value=\"Firozpur\">Firozpur<\/option><option value=\"Gurdaspur\">Gurdaspur<\/option><option value=\"Hoshiarpur\">Hoshiarpur<\/option><option value=\"Jalandhar\">Jalandhar<\/option><option value=\"Kapurthala\">Kapurthala<\/option><option value=\"Ludhiana\">Ludhiana<\/option><option value=\"Nabha\">Nabha<\/option><option value=\"Patiala\">Patiala<\/option><option value=\"Rupnagar\">Rupnagar<\/option><option value=\"Sangrur\">Sangrur<\/option><option value=\"Abu\">Abu<\/option><option value=\"Ajmer\">Ajmer<\/option><option value=\"Alwar\">Alwar<\/option><option value=\"Amer\">Amer<\/option><option value=\"Barmer\">Barmer<\/option><option value=\"Beawar\">Beawar<\/option><option value=\"Bharatpur\">Bharatpur<\/option><option value=\"Bhilwara\">Bhilwara<\/option><option value=\"Bikaner\">Bikaner<\/option><option value=\"Bundi\">Bundi<\/option><option value=\"Chittaurgarh\">Chittaurgarh<\/option><option value=\"Churu\">Churu<\/option><option value=\"Dhaulpur\">Dhaulpur<\/option><option value=\"Dungarpur\">Dungarpur<\/option><option value=\"Ganganagar\">Ganganagar<\/option><option value=\"Hanumangarh\">Hanumangarh<\/option><option value=\"Jaipur\">Jaipur<\/option><option value=\"Jaisalmer\">Jaisalmer<\/option><option value=\"Jalor\">Jalor<\/option><option value=\"Jhalawar\">Jhalawar<\/option><option value=\"Jhunjhunu\">Jhunjhunu<\/option><option value=\"Jodhpur\">Jodhpur<\/option><option value=\"Kishangarh\">Kishangarh<\/option><option value=\"Kota\">Kota<\/option><option value=\"Merta\">Merta<\/option><option value=\"Nagaur\">Nagaur<\/option><option value=\"Nathdwara\">Nathdwara<\/option><option value=\"Pali\">Pali<\/option><option value=\"Phalodi\">Phalodi<\/option><option value=\"Pushkar\">Pushkar<\/option><option value=\"Sawai Madhopur\">Sawai Madhopur<\/option><option value=\"Shahpura\">Shahpura<\/option><option value=\"Sikar\">Sikar<\/option><option value=\"Sirohi\">Sirohi<\/option><option value=\"Tonk\">Tonk<\/option><option value=\"Udaipur\">Udaipur<\/option><option value=\"Gangtok\">Gangtok<\/option><option value=\"Gyalsing\">Gyalsing<\/option><option value=\"Lachung\">Lachung<\/option><option value=\"Mangan\">Mangan<\/option><option value=\"Arcot\">Arcot<\/option><option value=\"Chengalpattu\">Chengalpattu<\/option><option value=\"Chennai\">Chennai<\/option><option value=\"Chidambaram\">Chidambaram<\/option><option value=\"Coimbatore\">Coimbatore<\/option><option value=\"Cuddalore\">Cuddalore<\/option><option value=\"Dharmapuri\">Dharmapuri<\/option><option value=\"Dindigul\">Dindigul<\/option><option value=\"Erode\">Erode<\/option><option value=\"Kanchipuram\">Kanchipuram<\/option><option value=\"Kanniyakumari\">Kanniyakumari<\/option><option value=\"Kodaikanal\">Kodaikanal<\/option><option value=\"Kumbakonam\">Kumbakonam<\/option><option value=\"Madurai\">Madurai<\/option><option value=\"Mamallapuram\">Mamallapuram<\/option><option value=\"Nagappattinam\">Nagappattinam<\/option><option value=\"Nagercoil\">Nagercoil<\/option><option value=\"Palayankottai\">Palayankottai<\/option><option value=\"Pudukkottai\">Pudukkottai<\/option><option value=\"Rajapalaiyam\">Rajapalaiyam<\/option><option value=\"Ramanathapuram\">Ramanathapuram<\/option><option value=\"Salem\">Salem<\/option><option value=\"Thanjavur\">Thanjavur<\/option><option value=\"Tiruchchirappalli\">Tiruchchirappalli<\/option><option value=\"Tirunelveli\">Tirunelveli<\/option><option value=\"Tiruppur\">Tiruppur<\/option><option value=\"Tuticorin\">Tuticorin<\/option><option value=\"Udhagamandalam\">Udhagamandalam<\/option><option value=\"Vellore\">Vellore<\/option><option value=\"Hyderabad\">Hyderabad<\/option><option value=\"Karimnagar\">Karimnagar<\/option><option value=\"Khammam\">Khammam<\/option><option value=\"Mahbubnagar\">Mahbubnagar<\/option><option value=\"Nizamabad\">Nizamabad<\/option><option value=\"Sangareddi\">Sangareddi<\/option><option value=\"Warangal\">Warangal<\/option><option value=\"Agartala\">Agartala<\/option><option value=\"Agra\">Agra<\/option><option value=\"Aligarh\">Aligarh<\/option><option value=\"Amroha\">Amroha<\/option><option value=\"Ayodhya\">Ayodhya<\/option><option value=\"Azamgarh\">Azamgarh<\/option><option value=\"Bahraich\">Bahraich<\/option><option value=\"Ballia\">Ballia<\/option><option value=\"Banda\">Banda<\/option><option value=\"Bara Banki\">Bara Banki<\/option><option value=\"Bareilly\">Bareilly<\/option><option value=\"Basti\">Basti<\/option><option value=\"Bijnor\">Bijnor<\/option><option value=\"Bithur\">Bithur<\/option><option value=\"Budaun\">Budaun<\/option><option value=\"Bulandshahr\">Bulandshahr<\/option><option value=\"Deoria\">Deoria<\/option><option value=\"Etah\">Etah<\/option><option value=\"Etawah\">Etawah<\/option><option value=\"Faizabad\">Faizabad<\/option><option value=\"Farrukhabad-cum-Fatehgarh\">Farrukhabad-cum-Fatehgarh<\/option><option value=\"Fatehpur\">Fatehpur<\/option><option value=\"Fatehpur Sikri\">Fatehpur Sikri<\/option><option value=\"Ghaziabad\">Ghaziabad<\/option><option value=\"Ghazipur\">Ghazipur<\/option><option value=\"Gonda\">Gonda<\/option><option value=\"Gorakhpur\">Gorakhpur<\/option><option value=\"Hamirpur\">Hamirpur<\/option><option value=\"Hardoi\">Hardoi<\/option><option value=\"Hathras\">Hathras<\/option><option value=\"Jalaun\">Jalaun<\/option><option value=\"Jaunpur\">Jaunpur<\/option><option value=\"Jhansi\">Jhansi<\/option><option value=\"Kannauj\">Kannauj<\/option><option value=\"Kanpur\">Kanpur<\/option><option value=\"Lakhimpur\">Lakhimpur<\/option><option value=\"Lalitpur\">Lalitpur<\/option><option value=\"Lucknow\">Lucknow<\/option><option value=\"Mainpuri\">Mainpuri<\/option><option value=\"Mathura\">Mathura<\/option><option value=\"Meerut\">Meerut<\/option><option value=\"Mirzapur-Vindhyachal\">Mirzapur-Vindhyachal<\/option><option value=\"Moradabad\">Moradabad<\/option><option value=\"Muzaffarnagar\">Muzaffarnagar<\/option><option value=\"Partapgarh\">Partapgarh<\/option><option value=\"Pilibhit\">Pilibhit<\/option><option value=\"Prayagraj\">Prayagraj<\/option><option value=\"Rae Bareli\">Rae Bareli<\/option><option value=\"Rampur\">Rampur<\/option><option value=\"Saharanpur\">Saharanpur<\/option><option value=\"Sambhal\">Sambhal<\/option><option value=\"Shahjahanpur\">Shahjahanpur<\/option><option value=\"Sitapur\">Sitapur<\/option><option value=\"Sultanpur\">Sultanpur<\/option><option value=\"Tehri\">Tehri<\/option><option value=\"Varanasi\">Varanasi<\/option><option value=\"Almora\">Almora<\/option><option value=\"Dehra Dun\">Dehra Dun<\/option><option value=\"Haridwar\">Haridwar<\/option><option value=\"Mussoorie\">Mussoorie<\/option><option value=\"Nainital\">Nainital<\/option><option value=\"Pithoragarh\">Pithoragarh<\/option><option value=\"Alipore\">Alipore<\/option><option value=\"Alipur Duar\">Alipur Duar<\/option><option value=\"Asansol\">Asansol<\/option><option value=\"Baharampur\">Baharampur<\/option><option value=\"Bally\">Bally<\/option><option value=\"Balurghat\">Balurghat<\/option><option value=\"Bankura\">Bankura<\/option><option value=\"Baranagar\">Baranagar<\/option><option value=\"Barasat\">Barasat<\/option><option value=\"Barrackpore\">Barrackpore<\/option><option value=\"Basirhat\">Basirhat<\/option><option value=\"Bhatpara\">Bhatpara<\/option><option value=\"Bishnupur\">Bishnupur<\/option><option value=\"Budge Budge\">Budge Budge<\/option><option value=\"Burdwan\">Burdwan<\/option><option value=\"Chandernagore\">Chandernagore<\/option><option value=\"Darjiling\">Darjiling<\/option><option value=\"Diamond Harbour\">Diamond Harbour<\/option><option value=\"Dum Dum\">Dum Dum<\/option><option value=\"Durgapur\">Durgapur<\/option><option value=\"Halisahar\">Halisahar<\/option><option value=\"Haora\">Haora<\/option><option value=\"Hugli\">Hugli<\/option><option value=\"Ingraj Bazar\">Ingraj Bazar<\/option><option value=\"Jalpaiguri\">Jalpaiguri<\/option><option value=\"Kalimpong\">Kalimpong<\/option><option value=\"Kamarhati\">Kamarhati<\/option><option value=\"Kanchrapara\">Kanchrapara<\/option><option value=\"Kharagpur\">Kharagpur<\/option><option value=\"Koch Bihar\">Koch Bihar<\/option><option value=\"Kolkata\">Kolkata<\/option><option value=\"Krishnanagar\">Krishnanagar<\/option><option value=\"Malda\">Malda<\/option><option value=\"Midnapore\">Midnapore<\/option><option value=\"Murshidabad\">Murshidabad<\/option><option value=\"Navadwip\">Navadwip<\/option><option value=\"Palashi\">Palashi<\/option><option value=\"Panihati\">Panihati<\/option><option value=\"Purulia\">Purulia<\/option><option value=\"Raiganj\">Raiganj<\/option><option value=\"Santipur\">Santipur<\/option><option value=\"Shantiniketan\">Shantiniketan<\/option><option value=\"Shrirampur\">Shrirampur<\/option><option value=\"Siliguri\">Siliguri<\/option><option value=\"Siuri\">Siuri<\/option><option value=\"Tamluk\">Tamluk<\/option><option value=\"Titagarh\">Titagarh<\/option><option value=\"Others Cities\">Others Cities<\/option><\/select><\/span><\/b><\/label>\n<\/p>\n<p><label><b>28A.Mention your School City Name: (If Your City\/Town not in above list)<\/b><br>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"If_required_pursuing_Cities\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"If_required_pursuing_Cities\"><\/span><br>\n<\/label>\n<\/p>\n<p><label><b>29. Pincode Of School \/ College \/ Institute (PRESENTLY PURSUING)\n\t\t\t<split style=\"color: red\" ;>*\n\t\t\t<\/split><br>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"PursuSchoolPincode\"><input size=\"40\" maxlength=\"6\" minlength=\"4\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"PursuSchoolPincode\"><\/span><\/b><\/label>\n<\/p>\n<p><label><b>30.Mobile No of Your School (PRESENTLY PURSUING)<\/b>\n\t\t<split style=\"color: red\" ;>*\n\t\t<\/split><br>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"PursuSchoolMobile\"><input size=\"40\" maxlength=\"10\" minlength=\"9\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"PursuSchoolMobile\"><\/span><\/label>\n<\/p>\n<p><label><b>31.Tel. No. (with STD Code) (PRESENTLY PURSUING)<\/b><br>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Pursu_Tele\"><input size=\"40\" maxlength=\"12\" minlength=\"9\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"Pursu_Tele\"><\/span><\/label>\n<\/p>\n<p><label> <b>32.Class \/ Course (PRESENTLY PURSUING)<\/b>\n\t\t<split style=\"color: red\" ;>*\n\t\t<\/split><br>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"ClassPresent\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"ClassPresent\"><\/span><\/label><br>\n<label> <b>33.Course Duration (No, of Years) PRESENTLY PURSUING <\/b>\n\t\t<split style=\"color: red\" ;>*\n\t\t<\/split><br>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"CourseDuration\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"CourseDuration\"><\/span><\/label><br>\n<label> <b>34.Subjects (PRESENTLY PURSUING) <\/b>\n\t\t<split style=\"color: red\" ;>*\n\t\t<\/split> <\/label><br>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-22\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"checkbox-22[]\" value=\"Maths \/ Mathematics\"><span class=\"wpcf7-list-item-label\">Maths \/ Mathematics<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-22[]\" value=\"Algebra\"><span class=\"wpcf7-list-item-label\">Algebra<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-22[]\" value=\"Geometry\"><span class=\"wpcf7-list-item-label\">Geometry<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-22[]\" value=\"Biology\"><span class=\"wpcf7-list-item-label\">Biology<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-22[]\" value=\"Physics\"><span class=\"wpcf7-list-item-label\">Physics<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-22[]\" value=\"Chemistry\"><span class=\"wpcf7-list-item-label\">Chemistry<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-22[]\" value=\"Geography\"><span class=\"wpcf7-list-item-label\">Geography<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-22[]\" value=\"History\"><span class=\"wpcf7-list-item-label\">History<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-22[]\" value=\"Citizenship\"><span class=\"wpcf7-list-item-label\">Citizenship<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-22[]\" value=\"Physical Education (P.E)\"><span class=\"wpcf7-list-item-label\">Physical Education (P.E)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-22[]\" value=\"Business Studies\"><span class=\"wpcf7-list-item-label\">Business Studies<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-22[]\" value=\"Home Economics\"><span class=\"wpcf7-list-item-label\">Home Economics<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-22[]\" value=\"Trigonometry\"><span class=\"wpcf7-list-item-label\">Trigonometry<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-22[]\" value=\"Statistics\"><span class=\"wpcf7-list-item-label\">Statistics<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-22[]\" value=\"English\"><span class=\"wpcf7-list-item-label\">English<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-22[]\" value=\"Hindi\"><span class=\"wpcf7-list-item-label\">Hindi<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-22[]\" value=\"Bengali\"><span class=\"wpcf7-list-item-label\">Bengali<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-22[]\" value=\"Computer Application\"><span class=\"wpcf7-list-item-label\">Computer Application<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-22[]\" value=\"Statistical\"><span class=\"wpcf7-list-item-label\">Statistical<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-22[]\" value=\"Economics\"><span class=\"wpcf7-list-item-label\">Economics<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-22[]\" value=\"Computer Science\"><span class=\"wpcf7-list-item-label\">Computer Science<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-22[]\" value=\"Science\"><span class=\"wpcf7-list-item-label\">Science<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-22[]\" value=\"Sanskrit\"><span class=\"wpcf7-list-item-label\">Sanskrit<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-22[]\" value=\"Accounts\"><span class=\"wpcf7-list-item-label\">Accounts<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-22[]\" value=\"Social science\"><span class=\"wpcf7-list-item-label\">Social science<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-22[]\" value=\"Physical Science\"><span class=\"wpcf7-list-item-label\">Physical Science<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-22[]\" value=\"Urdu\"><span class=\"wpcf7-list-item-label\">Urdu<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"checkbox-22[]\" value=\"Others Subject\"><span class=\"wpcf7-list-item-label\">Others Subject<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label> <b>34A.If Others Subject, Please Specify (Pursuing) <\/b><br>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"SubjectPursuing\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"SubjectPursuing\"><\/span><\/label><br>\n<!---------------------------------- END Student's Presently pursuing Information---------->\n<\/p>\n<p><label> <b>35.Economic (Financial Standing) (Enclose Copy of Last Income Tax Return Field or else any proof of income document.) <\/b>\n\t\t<split style=\"color: red\" ;>*\n\t\t<\/split><br>\n<\/label><br>\n<label> <b>35A. Parents Annual Income Rs <\/b><br>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"AnnualIncome\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"AnnualIncome\"><\/span><\/label><br>\n<label> <b>35B. If Parents are Income Tax Assess, then PAN No. of anyone <\/b><br>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"PANNo\"><input size=\"40\" maxlength=\"10\" minlength=\"6\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"PANNo\"><\/span><\/label><br>\n<label> <b>36. Is Reservation applicable (Optional): If yes, Then PL Check in the related box &amp; enclosed the copy of certificate\/documentary evidence if any :-<\/b><br>\n<\/label><br>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-ReservationApplication\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"checkbox-ReservationApplication[]\" value=\"Special Category- Handicapped\"><span class=\"wpcf7-list-item-label\">Special Category- Handicapped<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-ReservationApplication[]\" value=\"Excellence extra- curricular \nactivities like sports, NCC B certificate holder , debating, \ndramatics &amp; social services\"><span class=\"wpcf7-list-item-label\">Excellence extra- curricular \nactivities like sports, NCC B certificate holder , debating, \ndramatics &amp; social services<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"checkbox-ReservationApplication[]\" value=\"Economically weakersection \u2013 of \nthose students, whose presents annual income is not more than Rs, 1,20,000\/-\"><span class=\"wpcf7-list-item-label\">Economically weakersection \u2013 of \nthose students, whose presents annual income is not more than Rs, 1,20,000\/-<\/span><\/label><\/span><\/span><\/span><br>\n<br>\n<label> <b>37. CHECKLIST \u2013 for enclosures, PL tick,(Pl UPLOAD YOUR DETAILS )\n\t\t\t<split style=\"color: red\" ;>*\n\t\t\t<\/split> :- <\/b><\/label><br>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-683new\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"checkbox-683new[]\" value=\"Copy of Last Class marksheet\"><span class=\"wpcf7-list-item-label\">Copy of Last Class marksheet<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-683new[]\" value=\"Copy of Present Class Admission Receipt\"><span class=\"wpcf7-list-item-label\">Copy of Present Class Admission Receipt<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-683new[]\" value=\"Copy of Proof of Income document\"><span class=\"wpcf7-list-item-label\">Copy of Proof of Income document<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-683new[]\" value=\"Copy of certificate providing reservation\"><span class=\"wpcf7-list-item-label\">Copy of certificate providing reservation<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"checkbox-683new[]\" value=\"Copy of 1st page of Bank Pass Book for A\/C details\"><span class=\"wpcf7-list-item-label\">Copy of 1st page of Bank Pass Book for A\/C details<\/span><\/label><\/span><\/span><\/span><br>\n<br>\n<label> <b> 38. Please Upload your Hardcopy Of the Marksheet, Proof Of Income Document, Special Categories Certificate (File Size 10mb):-<\/b>\n\t\t<split style=\"color: red\" ;>*\n\t\t<\/split> <span class=\"wpcf7-form-control-wrap\" data-name=\"Certificate\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-drag-n-drop-file d-none\" aria-required=\"true\" aria-invalid=\"false\" type=\"file\" multiple data-name=\"Certificate\" data-type=\"jpg|jpeg|png|gif|xcel|word|pdf\" data-limit=\"10097152\" data-min=\"1\" data-max=\"10\" data-id=\"5\" data-version=\"free version 1.4.0\" accept=\".jpg, .jpeg, .png, .gif, .xcel, .word, .pdf\"><\/span><\/label><br>\n<label> <b>39. DECLARATION\n\t\t\t<split style=\"color: red\" ;>*\n\t\t\t<\/split><\/b><\/label><br>\n<label> <b>I\/We hereby declared that the information provided is true to the best of my\/our knowledge and nothing is concealed \/misrepresented. JM SETHIA CHARITABLE TRUST Management\u2019s decision will be final and decisive for selecting and granting Scholarships. In case Of any discrepancy found at any point in time. I \/ We would be responsible for the cancellation of the Scholarship &amp;refund of the money received on this behalf. I\/We further state that no other scholarship is claimed from any other sources. I would be entitled to the Scholarship as long as I a enrolled in the above-mentioned course \/ College \/institution. I shall furnish a quarterly declaration continuity certificate obtained from the Principal \/ Head \/ of the Institute &amp; authentication about the utilization of the scholarship amount every failing which scholarship amount will be stopped.<\/b><br>\n<\/label><br>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"accept-this\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"accept-this\" value=\"1\" aria-invalid=\"false\"><\/span><\/span><\/span> I\/We accept the terms &amp; condition<br>\n<br>\n<!--<label> <b>Please download this <a href=\"http:\/\/www.jmstrust.com\/recommendation-form.html\">Recommendation form <\/a> <a href=\"http:\/\/www.jmstrust.com\/recommendation-form.html\">www.jmstrust.com\/recommendation-form.html<\/a>,get it attached it from your Headmaster \/ Principal\/Head of the Institution , and then  submit your form below<\/label>\n<\/br>\n<label> Kindly upload the Recommendation Form Here <span class=\"wpcf7-form-control-wrap\" data-name=\"file-608\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".pdf,.xcel,.word\" aria-invalid=\"false\" type=\"file\" name=\"file-608\" \/><\/span><\/label>--><br>\n<input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Submit\">\n<\/p><div class=\"gscf7-frontend-gdpr-notice\"><span>Your information will be securely sent to and stored in Google Sheets for the purpose of processing your form submission.<\/span><\/div><input type=\"text\" class=\"wpcf7_hp_field\" name=\"wpcf7_hp_field\" value=\"\" tabindex=\"-1\" autocomplete=\"off\"><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n<p><!-- \/wp:contact-form-7\/contact-form-selector --><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t<\/body>","protected":false},"excerpt":{"rendered":"<p>\u00a0 \u00a0Note :\u00a0 INSTRUCTION :- Do not Fillip application form repeatedly. Form Should be Fill up in English letters only (Do not use any regional language). Scholarship scheme is not applicable for candidates preparing for competitive exams. Date for Submission of Application form &#8211; April to July; Date Of Selection of Candidate &#8211; August and [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":9,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"templates\/template-full-width.php","meta":{"om_disable_all_campaigns":false,"footnotes":""},"class_list":["post-6","page","type-page","status-publish","has-post-thumbnail","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/jmstrust.com\/enrolment\/wp-json\/wp\/v2\/pages\/6","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/jmstrust.com\/enrolment\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/jmstrust.com\/enrolment\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/jmstrust.com\/enrolment\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/jmstrust.com\/enrolment\/wp-json\/wp\/v2\/comments?post=6"}],"version-history":[{"count":5,"href":"https:\/\/jmstrust.com\/enrolment\/wp-json\/wp\/v2\/pages\/6\/revisions"}],"predecessor-version":[{"id":86584,"href":"https:\/\/jmstrust.com\/enrolment\/wp-json\/wp\/v2\/pages\/6\/revisions\/86584"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/jmstrust.com\/enrolment\/wp-json\/wp\/v2\/media\/9"}],"wp:attachment":[{"href":"https:\/\/jmstrust.com\/enrolment\/wp-json\/wp\/v2\/media?parent=6"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}