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Name In Full ( Beginning With Surname) :
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Date Of Birth :
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District :
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Age As On June 21 :
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Caste Category :
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Family Background :
Father Name ( Full Name ) :
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Mother Name( Full Name) :
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Father Qualification :
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Mother Qualification :
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Father Age :
Mother Age :
Father Occupation :
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Mother Occupation :
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Annual Income :
No. Of Dependents :
Residential Address:
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Contact Address :
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Phone / Mobile No :
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Mother Tongue :
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Record Of Previous Schooling :
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Std :
Year :
Reason For Leaving :
Instructions:
1.That the above information is correct to the best of my knowledge and belief.
2.That we shall abide by all the rules and regulation of the school on admission.
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