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Please fill up the following form for Registration

Name of Parent :

Name of Student :

School :

School Location :

Standard

6th 9th

Got Reference from :

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Email ID of Parent :

Email ID of Student :

Land Line Number :

Mobile Number :

(Put Only one number)

Address :

City :

State :

Pay Mode : Cheque Cash NEFT

Deposited Couriered

Amount:
Deposited in Branch :
Cheque Number :
Cheque Date :

Issuing Bank :
Courier Name :
Tracking No. :
Courier Date :

Amount :
Deposited in Branch :
Deposited Date :

Your Bank Name :
Date of Online Transfer :
Reference Number :

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