Name Of Child *
Date Of Birth *
Gender *
Mother Tongue *
Nationality *
Religion *
Caste
House Name *
Post Office
Land Mark
State *
District *
PIN Code
Mobile(with pin) *
Email Id *
Name and Place Of The School last Attended *
Means Of Transport *
Desired Bus Stop
Category *
Admission Sought For *
Father/Guardian Name *
Mother's Name *
Father/ Guardian
Mother
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