From No. 20622

Student Name :

Email Address :

Religion :

Applicant For Class :

Father's Name :

Mothers Name :

Local Guardian name :

Permanent Address :

Present Address :

Is Scholarship :

Guardian Yearly Income :

Gender :

Birthday :

Tribal :

Department :

Father's Occupation :

Mother's Occupation :

Relation with Student :

City :

Is Autistic :

Student Image :

Blood Group :

SMS Alert Mobile Number :

Nationality :

Previous School Name :

Father's Mobile Number :

Mother's Mobile Number :

Guardian Profession :

District :

Autistic Type :

730

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