Title * Select Title Dr. Prof. Mr. Ms. Mrs.

First Name *

Middle Name

Last Name *

Date of Birth *

Gender * Select Gender Male Female Other

Category * Select Category General OBC SC ST EWS

Nationality *

Email Address *

Phone Number *

Alternate Phone

Marital Status Select Status Single Married Divorced Widowed

Current Address * {{ old('current_address', $formData['current_address'] ?? '') }}

City *

State *

Pincode *

Photograph * @if(isset($formData['photograph'])) ✓ File uploaded @endif

Signature * @if(isset($formData['signature'])) ✓ File uploaded @endif