vivekananda institution

REGISTRATION

Addmission For Class * -

Addmission For Class *-

School Type * -

Previous School Name * -

Image *-

Name Of the Student * - (Block Letter)

Aadhaar number * - (Block Letter)

Father's Name * - (Block Letter)

Present Occupation * -

Name Of Organisation Serving at present -

Designation -

Mother's Name (Block Letter) *

Mother's Occupation (if any) * -

Name Of Organisation Serving at present -

Designation -

Local Gurdian *-

Relationship With Candidate *-

Local Addresss *-

Pin * :

Check this box if Local Address and Permanent Address are the same.

Parmanent Addresss * -

Pin * -

Ward Number/Gram Panchayat * -

Phone No * -

Resi. Phone No.

Office. Phone No.

Mobile No. & others *

Nationality * -

Date Of Birth (dd/mm/yyyy) *-

Category *:

Physically Handicapped Status *:

Passing Year Of Madhyamik *-

Madhamik Roll *-

No *-

Name Of The Board *-

Name Of Privious School *-

Medium *-

Subject	First Language	Second Language	Mathematics	Physical Sc.	Life Sc	History	Geography	Grand Total
Marks Obtained (Written+Oral) *
Grade

1st Language - Bengali

2nd Language - English

Select Group *-

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