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Student Name

Student Last Name

Father’s / Guardian’s Name

Mother’s Name:

Date of Birth*:

Gender: Gender:MaleFemale

Blood Group:

Category*(Gen/OBC/SC/ST/PH):

Whats App Mo.No.:

Address:

Address Line1

City:

State:

Mobile Parents*:

Mobile Parents:

E-Mail ID*:

Previous School Name:

Marks Obtained: % (Class X)

PERCENTILE

Grade

Percentage