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1. Student Name With Initials [Capital Only] :

2. Gender :

3. Date Of Birth :

4. a) Nationality :

    b) Religion :

   c) Caste :

    d) Whether Candidate Belongs To SC/ST :

7. Name Of The School Last Studied :

9. Medium of Instruction :

11. Percentage of marks secured at the last Examination :

12. Class into which admission is sought :

15. Phone No :

16. Email :

17. Name and address of the local Guardian(only if the student is staying with a local Guardian) :