Panchsowa ( Hospital More ), Bolpur, Birbhum, Pin - 731240
Phone No - +91 86705 11171
Academic Session : 2022
Personal Details
Name of the Candidate :
Date of Birth :
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Aadhar No. (Candidate) :
Gender :
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Boy
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Religion :
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Hindu
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Others
Nationality :
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Mother Tongue :
Admission sought in Class :
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LKG
UKG
I
II
III
IV
V
VI
VII
Admission Type :
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New Admission
On T.C.
Permanent Address :
Present Address :
Blood Group :
Social Category :
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UR
SC
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OBC
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Whether belong to BPL Category :
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No
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Belongs to disadvantaged Group :
Yes
No
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Whether the Student wants to avail the Transport Facility :
Yes
No
Father's Details
Father's Name :
Occupation :
Academic Qualification :
Monthly Income :
Id/Voter Id Card No. :
Phone No. :
Mother’s Details
Mother's Name :
Occupation :
Academic Qualification :
Monthly Income :
Id/Voter Id Card No. :
Phone No. :
Local Guardian Details
Name :
Occupation :
Academic Qualification :
Address :
Monthly Income :
Id/Voter Id Card No. :
Phone No. :
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Candidate :
Father :
Mother :
