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BALABHUT NO.-I GOVT. PRIMARY SCHOOL

P.O.- Balabhut, Dist - Cooch Behar

ESTD : 1948

Application Form for admission in Class : P.P. / I / II / III/ IV    Session : 

1. Name of the child :

2. Date of Birth : 

3. Proof of D.O.B. :

4. Aadhar Card No. : 

5. Details Of Last School if applicable : 

6. Bank account number :

Name of the Bank and Branch :

7. Admission in Class :

8. Father's Name :

Mother's Name :

Guardian's Name :

9. Permanent Address : 

10. Mobile Number :

11. Religion :

12. Caste : 

13. Signature of Guardian with date :