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1. Student Name With Initials [Capital Only] :

2. Gender :

3. Date Of Birth :

4. a) Nationality :

4 b) Religion

4c) Caste

4d) Whether Candidate Belongs To SC/ST

5. Place Of Birth And State :

6. Mother Tounge :

7. Name Of The School Last Studied :

8. Class in which Student was studying at the time of leaving :

9. Medium of Instruction

10. Number and date of Transfer Certificate:

11. Percentage of marks secured at the last Examination :

12. Class into which admission is sought :

13a)FatherName:

b)FatherOccupation:

c) Father Education Level :

d) Father Annual Income :

14a)MotherName:

b)MotherOccupation:

c)Mother Educational level:

d)Mother Annual Income:

15. Address of The Parents:

16. Phone No :

17. Email :

18. Name and address of the local Guardian(only if the student is staying with a local Guardian) :

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