Date
Of Application :
Student's Name
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Gender
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Date Of Birth
Select Date 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
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Select Year 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 *
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DOB(in words)
Blood Group
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Parent
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Category
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Nationality
For Class / Stream
Select Class XI SCIENCE(PCM) XI SCIENCE(PCB) XI COMMERCE ARTS Select Class
Religion
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Science Stream(PCM) :-
Compulsory
English,Math,Phy,Chem
Select 5th & 6th
Subject
HINDI (5TH),PHE(6TH) INFORMATICS PRACTICES (5TH),PHE(6TH) COMPUTER SC.(5TH),PHE(6TH) ECO(5TH),PHE(6TH)
Science Stream(PCB) :-
Compulsory
English, Phy, Chem,Bio
Select 5th & 6th
Subject
HIN (5TH),PHE(6TH) MATHS (5TH),PHE(6TH) FINE ARTS (5TH),PHE(6TH)
Commerce Stream :-
Compulsory
English,Accounts,B.St,Eco
Select 5th & 6th
Subject
Math(5TH) , PHE(6TH) HINDI (5TH) , PHE(6TH) IP(5TH) , PHE(6TH)
Arts Stream :-
Compulsory
English,Eco,Hist, Pol. Sc.
Select 5th & 6th
Subject
HIN(5TH) , PHE(6TH) GEO(5TH) , PHE(6TH)
Sibling Real Brother/Sister
Only, Select If Yes
Select One Yes No Select One
If Sibling In The Same
School,
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Father's Name
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Mother's Name
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Qualification
Select Qualification Non-Matric Matriculation Intermediate Diploma Graduation P G Ph.D BE / B.Tech Me / M.Tech MD / M.B.B.S Others Enter Qualification
Qualification
Select Qualification Non-Matric Matriculation Intermediate Diploma Graduation Post Graduation Ph.D BE / B.Tech Me / M.Tech MD / M.B.B.S Others Enter Qualification
Occupation
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Occupation
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Government Servent
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Government Servent
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Designation
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Monthly Income
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Office Address
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Whatsapp No.
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Mobile No.1
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Mobile No.2
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Fax No.
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Bus Facility
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Present Address
(Pls
give the Dist. Name also)
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Permanent Address
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City
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City
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State
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State
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Nation
Nation
Pin Code
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Pin
Code
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Phone No.
Phone No.
Mobile No.1
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Mobile No.2
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Email Id (Login Email Id)
Last School
Name & Address
Dist :
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Year of Passing Class X.
Adhar Card
Number
Class X Subject Wise Board Marks
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Name of Board
Select CBSE ICSE JAC OTHER BOARD
Board Roll No
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