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Name of pupil (in capital letters):*

Admission sought for class :*

Date of birth :*

Place of birth :*

State:*

Nationality:*

Aadhar no:

Gender:*

Religion:*

Caste :*

Community :*

SC/ST OBC GEN Other:

Residential address:*

Communication address :*

Mother tongue:*

Blood group:*

Identification marks:

Student photo:*

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Name & address of the previous school:

Class:

Year of study:

Percentage/Grade:

Father/Guardian Name :*

Mother Name :*

Qualification:*

Occupation:

Designation:

Fathers Mobile number :

Mothers Mobile number :

Aadhar number:

Email:*

Office contact number (if any):

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