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Academic Year :
Curriculum Preferred: *
Class to which Registration is sought : *
Name of the Candidate : *
Date of Birth (DD-MM-YYYY) : *
Age : *
Gender : Male Female
Religion :
Name of the Parent : *
Occupation of Father : *
Postal Address : *
Land Phone : *
Mobile : *
Email : *
Street :
City :
State : *
Pin Code : *
Country : *
Name and Address of School last attended (if applicable) :
Affiliated to Board :
Medium of Instruction :
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