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ADMISSION FORM
Fill Below Fields as per SSC Records
1.
Application For
:
*
Intesnsive Coaching
Residential
2.
Name of the Student
:
*
3.
Date of Birth
:
*
4.
Marks of Identifications
:
1.
*
2.
*
5.
Nationality
:
*
6.
Religion
:
*
7.
Caste
:
*
8.
Sub Caste
:
*
9.
Parent /Guaradion Name
:
*
10.
Occupation
:
*
11.
Annual Income of Father
:
*
12.
Annual Income of Mother
:
*
13.
Permanent Postal Address
:
*
14.
Mobile Number
:
*
15.
Adv. Coaching For
:
*
Airforce
Navy
Army
NDA
16.
Place of Admission
:
*
17.
Reference by
:
*
18.
Admitted by
:
*
19.
Relation with Student
:
*
20.
Examination Passed
:
*
INTER
SSC
CBSE
ICSE
21.
Medium of Exam
:
*
English
Telugu