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A.1. Name of the Student : ...............................................................................     2. DOB: ......../............./............     3. Social Category : SC / ST / OBC (         )   4. Religion :..................................... 5. Mother Tongue :............................................6. Nationality :......................

7. Aadhaar No. : ................/.................../......................  8. Identification Marks: .................................................................................. 9. Blood Group: ................

B. 1. Academic Year: ..................................    2. Admission No.: .........................................  3. Admission Date: ........................................ 4. Present Class : ............................ 5. Present Section: ....................... 6. Present Roll No. : ................................. 

     7. Previous Class ....................................   8. Previous Section: .....................................  9. Previous Roll No. : ...............................

C. 1. Address:.................................................................................................................................................  2. Habitation or Locality:........................................................ 3. District: ..............................................4. Block or Municipality: .............................................................

     5. Post Office: ................................................................. 6. Police Station : .................................................................. 7. Pin Code : ................................................ 8. Contact No.: ..................................................

D. 1. Father's Name : ............................................................................................... 2. Mother's Name : ..................................................................................... 3. Guardian's Name : ............................................................................ 4. Relationship (with Guardian) ..................

E. Guardians Contact Details :

     1. Address: ...................................................................................................................... 2. Habitation or Locality : ............................................................ 3. District : ........................................................4. Block or Municipality : .................................................................

      5. Post office : ................................................................  6. Police Station : ............................................................ 7. Pin Code : ......................................................... 8. Contact No. : ...................................................................

F. Bank Details of Student :

   1. Bank Name : ................................................................................... IFS Code : .......................................................................... Branch Name : ..................................................................... Account No. - .........................................................................