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Online Registration Form (2022 - 23)

REGISTRATION NO : 3

Applied Class For * :

Upload Photo (Photo Size Max 100KB) * :

Personal Detail

Applicant Name * :

Date Of Birth * :

Nationality * :

Religion * :

Category * :

Gender * :

Address * :

City * :

State * :

Pin * :

Mobile No. * :

Email :

Parent Details

Father Details

Father Name * :

Mobile No. * :

Email :

Occupation * :

Organization :

Office address :

Landline Number (Office) :

Mother Details

Mother Name * :

Mobile No. * :

Email :

Occupation * :

Organization :

Office address:

Landline Number (Office) :

Local Guardian Details (if any)

Name :

Mobile No. :

address:

Landline Number (Home) :

Qualification Details

Last Attended Class :

Year :

School Name :

School Board Name :

Address of School:

Result Of Last Exam (%) :

I certify / agree that I filled up all the entries are correct. If the statement is inaccurate and untrue my application automatically be canceled and legal proceedings should be against me.

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