| **Board Roll: |
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**Reg. No: |
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| **Pass Year: |
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**Board: |
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| Group: |
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Result: |
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| Gender: |
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Date of Birth: |
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| *Religion: |
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Blood Group: |
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| **Student's Name: |
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**Student's Contact No: |
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| *Father's Name: |
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**Father's Contact No: |
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| *Mother's Name: |
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**Mother's Contact No: |
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| **Local Guardian Name: |
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**Admission Date: |
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| Photo:
200 * 200 pixels
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Student's E-mail: |
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| Father's Occupation: |
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Mothers's Occupation: |
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| Interested Department: |
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Session: |
2025 |
| **Present Address: |
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**Permanent Address: |
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