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STUDENT DCF FORM

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                            Admission Form     

 

           Lohapur Balika Junior High School 

                                     P.O.-Lohapur  * DIST.-BIRBHUM * PIN-731237 

*Basic Information:

1. Name :- .................................................................................

2. Father’s Name : .................................................................................

3. Mother’s Name :- .................................................................................

4. DOB :- .................................................................................

5. Class :-........................  6. Roll :- ...................... 7.Section :-..................

8.  Category(Caste) :-  ............... 

9. Aadhaar No. :-...............................................................................

10. Identification Mark:-.................................

11. Gender :-.................

12. Blood Group :- .....................

13. Student Id (online) :-...............................................................................

# Contact Information:

Address  :- (a)Village :-...............................................................................

(a)Post office:-  ............................................

(b) District :- ......................................

Block :- ..................................................................................................................

Panchayat :- ..........................................................................................................

Police Station :- ......................................................................................................

Pin Code :- .................................................................................

Contact No (Mobile No.) :- .................................................................................

Name of the Bank :- .................................................................................

Name of the Branch :- .................................................................................

 IFSC CODE :- .................................................................................

 A/C No. : - ................................................................................                                                  

# Attach Passport size photo of student

 

______________________ 

Signature of the student

                                                  _________________________

Signature of the Guardian