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Applied Class
Full Name *
Gender
Date Of Birth (DD/MM/YYYY) *
Date Of Birth (In Words) *
Age (On 31st March) *
Blood Group
Category

Mother Name
Mother Age
Mother Education
Mother Nationality
Mother Occupation
Mother (Residential Address)
Mother Mobile No.
Mother (Permanent Address)
Mother (Office Name With Address & Telephone)

Father Name
Father Age
Father Education
Father Nationality
Father Occupation
Father (Residential Address)
Father Mobile No.
Father (Permanent Address)
Father (Office Name With Address & Telephone)

Local Guardian (Name & Address)
School Last Attended (Name & Address)
Board Of Last School
Result Of Last Exam
Subject Proposed To Offer
Transfer Certificate Is Attached OR Not
Mother Tongue
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