Qfix - Online Form

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style=\"width: 159.917px; height: 188.069px;\" data-filename=\"IPC.jpg\"><b><br></b></div><div style=\"text-align: center;\"><b><br></b></div><div style=\"text-align: center;\"><b>INDIAN PARAMEDICAL COUNCIL</b></div><div style=\"text-align: center;\"><b><br></b></div><div style=\"text-align: center;\"><b><div>Registerted Office: 176, L – Block Extn. Mohan Garden, Uttam Nagar, New Delhi - 110059, India</div><div><br></div><div>Head Office : 609, Safipur 1, Ramadevi Lucknow Highway Road, Kanpur Nagar, Uttar Pradesh PIN-208 007, India</div><div><br></div><div>Application Form For Paramedical Student Registration</div></b></div>"},"dependentSections":[],"sections":[{"sectionId":"7118337598455071","header":"","sectionDetails":[{"typeId":"5648031640965285","type":{"type":"Four"},"typeName":"textBox","arr":[{"element":{"elementType":"2","position":"One","label":"Candidate’s Name","placeholder":"Candidate’s Name","show_in_payment_receipt":"on","required":"on","validation":"name","requiredMessage":"","qfixIdentifier":"applicant_firstname","qfixDB":""}}]},{"typeId":"8920432968440617","type":{"type":"Five"},"typeName":"textBox","arr":[{"element":{"elementType":"2","position":"One","label":"Mother’s Name","placeholder":"Mother’s 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