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							<p align="right"><font face="Verdana" size="4">Aditya Jyot Eye Hospital, 
									announces&nbsp; </font>
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								<b><font face="Tahoma" color="#ffffff" size="5">ADITYA JYOT INSTITUTE OF 
										OPTOMETRY&nbsp; </font></b>
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								<b><font face="MS Sans Serif" color="#ffffff">An Optometry Educational Institute&nbsp; </font>
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								<TABLE id="Table1" class="default" cellSpacing="1" cellPadding="2" width="100%" border="0">
									<TR>
										<TD class="Heading" align="middle" colSpan="6">On-Line Enrollement Submission</TD>
									</TR>
									<TR>
										<TD>&nbsp;</TD>
										<TD></TD>
										<TD style="WIDTH: 236px" colSpan="2"></TD>
										<TD colSpan="2"></TD>
									</TR>
									<TR>
										<TD>Full Name</TD>
										<TD>
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										<TD class="Small"></TD>
										<TD class="Small" align="middle">Last Name</TD>
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										<TD class="Small" align="middle" colSpan="2">First Name</TD>
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										<TD>Address</TD>
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										<TD></TD>
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										<TD>Area</TD>
										<TD>
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										<TD>State</TD>
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										<TD style="WIDTH: 97px">Country</TD>
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										<TD>Tel No</TD>
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										<TD>Email</TD>
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										<TD style="WIDTH: 97px">
											Gender</TD>
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											<asp:RadioButtonList id="RadGander" runat="server" CssClass="default" RepeatDirection="Horizontal">
												<asp:ListItem Value="Male" Selected="True">Male</asp:ListItem>
												<asp:ListItem Value="Female">Female</asp:ListItem>
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										<TD>Date of Birth</TD>
										<TD>
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										<TD style="WIDTH: 97px">Mother Tongue</TD>
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										<TD></TD>
									</TR>
									<TR>
										<TD class="SubHeading" colSpan="6">Educational Details</TD>
									</TR>
									<TR>
										<TD colSpan="2">Course Last Studied</TD>
										<TD style="WIDTH: 97px" colSpan="3">
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										<TD></TD>
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									<TR>
										<TD colSpan="6">
											<TABLE class="DEFAULT" id="Table2" cellSpacing="2" cellPadding="2" width="100%" border="0">
												<TR>
													<TD>Desc.</TD>
													<TD>Appeared Year</TD>
													<TD>Board Name</TD>
													<TD>Total Marks</TD>
													<TD>PCB Marks</TD>
													<TD>% Marks</TD>
													<TD>Class</TD>
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												<TR>
													<TD>S.S.C.</TD>
													<TD>
														<asp:TextBox id="TxtSSCAppYear" runat="server" Width="89px" Font-Size="11px" Font-Names="Verdana" BorderColor="Navy" CssClass="default" BorderWidth="1px" BorderStyle="Solid" MaxLength="10"></asp:TextBox></TD>
													<TD>
														<asp:TextBox id="TxtSSCBoardName" runat="server" Width="110px" Font-Size="11px" Font-Names="Verdana" BorderColor="Navy" CssClass="default" BorderWidth="1px" BorderStyle="Solid"></asp:TextBox></TD>
													<TD>
														<asp:TextBox id="TxtSSCTotMrks" runat="server" Width="73px" Font-Size="11px" Font-Names="Verdana" BorderColor="Navy" CssClass="default" BorderWidth="1px" BorderStyle="Solid"></asp:TextBox></TD>
													<TD>
														<asp:TextBox id="TxtSSCPCBMrks" runat="server" Width="73px" Font-Size="11px" Font-Names="Verdana" BorderColor="Navy" CssClass="default" BorderWidth="1px" BorderStyle="Solid"></asp:TextBox></TD>
													<TD>
														<asp:TextBox id="TxtSSCPMrks" runat="server" Width="46px" Font-Size="11px" Font-Names="Verdana" BorderColor="Navy" CssClass="default" BorderWidth="1px" BorderStyle="Solid"></asp:TextBox></TD>
													<TD>
														<asp:TextBox id="TxtSSCClass" runat="server" Width="46px" Font-Size="11px" Font-Names="Verdana" BorderColor="Navy" CssClass="default" BorderWidth="1px" BorderStyle="Solid"></asp:TextBox></TD>
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												<TR>
													<TD>H.S.C.</TD>
													<TD>
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													<TD>
														<asp:TextBox id="TxtHSCBoardName" runat="server" Width="110px" Font-Size="11px" Font-Names="Verdana" BorderColor="Navy" CssClass="default" BorderWidth="1px" BorderStyle="Solid"></asp:TextBox></TD>
													<TD>
														<asp:TextBox id="TxtHSCTotMrks" runat="server" Width="73px" Font-Size="11px" Font-Names="Verdana" BorderColor="Navy" CssClass="default" BorderWidth="1px" BorderStyle="Solid"></asp:TextBox></TD>
													<TD>
														<asp:TextBox id="TxtHSCPCBMrks" runat="server" Width="73px" Font-Size="11px" Font-Names="Verdana" BorderColor="Navy" CssClass="default" BorderWidth="1px" BorderStyle="Solid"></asp:TextBox></TD>
													<TD>
														<asp:TextBox id="TxtHSCPMrks" runat="server" Width="46px" Font-Size="11px" Font-Names="Verdana" BorderColor="Navy" CssClass="default" BorderWidth="1px" BorderStyle="Solid"></asp:TextBox></TD>
													<TD>
														<asp:TextBox id="TxtHCSClass" runat="server" Width="46px" Font-Size="11px" Font-Names="Verdana" BorderColor="Navy" CssClass="default" BorderWidth="1px" BorderStyle="Solid"></asp:TextBox></TD>
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												<TR>
													<TD>
														<asp:TextBox id="TxtOpt1" runat="server" Width="74px" Font-Size="11px" Font-Names="Verdana" BorderColor="Navy" CssClass="default" BorderWidth="1px" BorderStyle="Solid"></asp:TextBox></TD>
													<TD>
														<asp:TextBox id="TxtOpt1AppYear" runat="server" Width="89px" Font-Size="11px" Font-Names="Verdana" BorderColor="Navy" CssClass="default" BorderWidth="1px" BorderStyle="Solid" MaxLength="10"></asp:TextBox></TD>
													<TD>
														<asp:TextBox id="TxtOpt1BoardName" runat="server" Width="110px" Font-Size="11px" Font-Names="Verdana" BorderColor="Navy" CssClass="default" BorderWidth="1px" BorderStyle="Solid"></asp:TextBox></TD>
													<TD>
														<asp:TextBox id="TxtOpt1TotMrks" runat="server" Width="73px" Font-Size="11px" Font-Names="Verdana" BorderColor="Navy" CssClass="default" BorderWidth="1px" BorderStyle="Solid"></asp:TextBox></TD>
													<TD>
														<asp:TextBox id="TxtOpt1PCBMrks" runat="server" Width="73px" Font-Size="11px" Font-Names="Verdana" BorderColor="Navy" CssClass="default" BorderWidth="1px" BorderStyle="Solid"></asp:TextBox></TD>
													<TD>
														<asp:TextBox id="TxtOpt1PMrks" runat="server" Width="46px" Font-Size="11px" Font-Names="Verdana" BorderColor="Navy" CssClass="default" BorderWidth="1px" BorderStyle="Solid"></asp:TextBox></TD>
													<TD>
														<asp:TextBox id="TxtOpt1Class" runat="server" Width="46px" Font-Size="11px" Font-Names="Verdana" BorderColor="Navy" CssClass="default" BorderWidth="1px" BorderStyle="Solid"></asp:TextBox></TD>
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												<TR>
													<TD>
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													<TD>
														<asp:TextBox id="TxtOpt2AppYear" runat="server" Width="89px" Font-Size="11px" Font-Names="Verdana" BorderColor="Navy" CssClass="default" BorderWidth="1px" BorderStyle="Solid" MaxLength="10"></asp:TextBox></TD>
													<TD>
														<asp:TextBox id="TxtOpt2BoardName" runat="server" Width="110px" Font-Size="11px" Font-Names="Verdana" BorderColor="Navy" CssClass="default" BorderWidth="1px" BorderStyle="Solid"></asp:TextBox></TD>
													<TD>
														<asp:TextBox id="TxtOpt2TotMrks" runat="server" Width="73px" Font-Size="11px" Font-Names="Verdana" BorderColor="Navy" CssClass="default" BorderWidth="1px" BorderStyle="Solid"></asp:TextBox></TD>
													<TD>
														<asp:TextBox id="TxtOpt2PCBMrks" runat="server" Width="73px" Font-Size="11px" Font-Names="Verdana" BorderColor="Navy" CssClass="default" BorderWidth="1px" BorderStyle="Solid"></asp:TextBox></TD>
													<TD>
														<asp:TextBox id="TxtOpt2PMrks" runat="server" Width="46px" Font-Size="11px" Font-Names="Verdana" BorderColor="Navy" CssClass="default" BorderWidth="1px" BorderStyle="Solid"></asp:TextBox></TD>
													<TD>
														<asp:TextBox id="TxtOpt2Class" runat="server" Width="46px" Font-Size="11px" Font-Names="Verdana" BorderColor="Navy" CssClass="default" BorderWidth="1px" BorderStyle="Solid"></asp:TextBox></TD>
												</TR>
											</TABLE>
										</TD>
									</TR>
									<TR>
										<TD colSpan="2">Name of School/College Last Attended</TD>
										<TD style="WIDTH: 236px" colSpan="3">
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										<TD></TD>
									</TR>
									<TR>
										<TD class="SubHeading" vAlign="top" colSpan="6">Optometry&nbsp;Course Details</TD>
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										<TD vAlign="top" colSpan="2">Course Applied For</TD>
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												<asp:ListItem Value="Bachelors in Optometry" Selected="True">Bachelors in Optometry </asp:ListItem>
												<asp:ListItem Value="Short Term Program">Short Term Comprehensive Fellowship Program</asp:ListItem>
												<asp:ListItem Value="Post Diploma Bachelors in Optometry">Post Diploma Bachelors in Optometry</asp:ListItem>
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										<TD colSpan="6">&nbsp;</TD>
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										<TD></TD>
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