Student’s Name (Block Letters)
Date of Birth (DD/MM/YY)
Class in which admission is sought
Stream (only for Std. XI)
Gender (Male/Female)
Category
Father's Name
Occupation
Mother's Name
Present Address
Contact No.
Permanent Address
School Last Attended
Class
Year
Marks
Percentage %
Regular/Private
Student Photo
I hereby confirm that all the information regarding my ward mentioned above is correct.
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