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Blessed Sacrement High School, Puri ESTD-1953

Student Information(As per the Birth Certificate) * Indicate a Mandatory Field

Admission into Std. *
Name of the Student *
Date of Birth *
City *
Gender*
Aadhaar No. of Student
Category
Nationality *
Religion *
Mother Tongue *
Disability *
Percentage
Name of the Father *
Aadhaar No. Of Father
Name of the Mother *
Aadhaar No. Of Mother
Edu. Qualification of Father *
Edu. Qualification of Mother *
Occupation of Father *
Occupation of Mother *
Annual Income of Parents(in Figures)

Present Address

Present Address of the Parent *
Dist/City *
PIN *
Area *
Ward Number *
Email ID *
Telephone No.(Res) *
Telephone No.(Off)
Same as Present Address

Permanent Address

Permanent Address of the Parent*
Dist/City *
PIN *
Area *
Telephone No.(Res)
Telephone No.(Off)

Information Of Last School Attended (Not Applicable for Std-I)

Name Of the School last attended
Class in which he/she was studying
T.C. No:
T.C. Date:

Guardian of Student (In Case of Father's Absence)

Full name of the Guardian
Relationship With the ward
Present Address of the Guardian
Telephone No.(Res)
Telephone No.(Off)

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NOTE BY :- APPLICATION FORM WITH INCOMPLETE INFORMATION/FALSE ENTRY ARE LIABLE TO BE REJECTED AND ADMISSION WILL BE FORFEITED

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