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Registration No. *  
Form No. *  
First name *  
Middle Name
Last Name
Sex
Date Of Birth *  
Name, Address & Contact number of the last school attended
Class to which admission is sought
Medical challenges (if any)

Family information

Father's Name *  
Profession *  
Edu. Qualification *  
Contact No. *  
E-mail Id
Mother's Name *  
Profession *  
Edu. Qualification *  
Contact No.
E-mail Id
Address for Correspondence *  
Sibling/s of the applicant Name, School & age) *

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Date Allotted for the Entrance Examination
Time of Examination

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