DAV MUKHYAMANTRI PUBLIC SCHOOL, JAVANGA GEEDAM
ADMISSION FORM
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Previous Class
Previous Class Status
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Name of the Student *
Gender *
Date of Birth Student *
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DD
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Date of Birth in words
Age ( As on 30 Sept 2020)
Place of Birth
Nationality
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Adhara No. *
BPL Card holder Name
BPL Number
Name of Bank and Branch *
IFSC CODE OF BANK
Bank Account No. *
Bank Account holder name *
Bank Account Status *
Religion *
Category *
Caste *
Mother Tongue *
Hobbies / Other Interest
Father name *
Mother name *
Guardian Name
Occupation
Name of Organization and Designation
Phone/ Mobile No. *
E mail ID
Permanent/ Correspondence Address *
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