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1. Student Name With Initials [Capital Only] :
2. Gender :
3. Date Of Birth :
4. a) Nationality :
    b) Religion :
   c) Caste :
    d) Whether Candidate Belongs To SC/ST :
5. Place Of Birth And State :
6. Mother Tounge :
7. Name Of The School Last Studied :
8. Class in which Student was studying at the time of leaving :
9. Medium of Instruction :
10. Number and date of Transfer Certificate:
11. Percentage of marks secured at the last Examination :
12. Class into which admission is sought :
13. Paticulars of Parents :
Father
Mother

a) Name :
b) Occupation :
c) Education Level :
d) Annual Income :
14. Address of The Parents With Phone No :
15. Email :
16. Name and address of the local Guardian(only if the student is staying with a local Guardian) :

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