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MOULA NETAJI VIDYALAYA (H.S.)

                                ESTD - 1949

                            DISE CODE - 19161105107

       Index No.- F2-082  *  H.S. Code -06150 * VTC Code - 2041

               Vill- Moula, P.O.- Ganeshpur, P.S.- Shyampur,

                     Dist.- Howrah, Pin No.- 711312.

                        Contact No.- 9732125642

               Admission Form

Name (in Capital Letter)........................................................................................

Father's Name.......................................................................................................

Mother's Name.......................................................................................................

Name of Guardian..........................................................Relation............................

Guardian's Qualification...................................Annual Family Income....................

Address in Full.........................................................................................................

.................................................................................................................................

Date of Birth.................................................Gender................................................

BPL (Y/N)................Cast.......................................Religion....................................

Mobile No....................................................Whats App No.------------------------------

Type of Handicraft (If Applicable)...........................................................................

Admission in Class....................... Stream (If Applicable).....................................

Previous Class............................Sec..................................Roll..............................

Aadhaar card No................................................................Blood Group..................

Student's Bank A/C No.............................................................................................

Bank Nmae.........................Branch...............................IFSC ...................................

Kanyashree ID (If Applicable).....................................................................................