
DEBRA UCHCHATARA MADHYAMIK VIDYALAYA
SL NO
DATE OF ADMISSION
NAME-
FATHERS NAME
DATA MANAGEMENT ID-
CASTE-
DATE OF BIRTH-
MARKS DETAILS-
SUBJECT COMBINATION PROPOSED
ADDRESS DETAILS-
CONTACT NO-
WHETHER BPL OR NOT-
BANK DETAILS-
FULL SIGNATURE OF THE CANDIDATE-
FULL SIGNATURE OF THE GURDIAN-