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Student Name

Date of Birth

Gender:

Male

Female

Blood Group

Nationality

Religion

Mother Tongue

Caste

Category:

GEN

SC

ST

OBC

Whether Disabled

Aadhar Number

Email

Mother Name

Mother Mobile Number

Mother Annual Income

Mother Job Profession:

Pvt

Govt

Self Employed

Mother Office Address

Father Name

Father Mobile Number

Father Annual Income

Father Job Profession:

Pvt

Govt

Self Employed

Father Office Address

Present Address (Residential)

Permanent Address

Name and Address of Local Guardian (if any)

Name and Address of School

Last Class of Study

Session

Result

Affiliating Board

History of any Prolonged Disease / Vital Disease