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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