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Student's Name :
(As per previous school records/birth certificate)
Admission to Grade :
Select Grade
Nursery
LKG
UKG
Class - I
Class - II
Class - III
Class - IV
Class - V
Class - VI
Class - VII
Class - VIII
Class - IX
Age :
Date of Birth : DD
Month
Year
Place of Birth :
District :
State :
Mother Tongue :
Religion / Caste /
Sub-Caste :
Nationality :
Father Name :
Qualification & Occupation :
Mother Name :
Qualification & Occupation :
Total Annual Income of Parents :
Residential Address :
Pincode :
Phone No. (Residential) :
Mobile No. :
Email :
Name & Address of previos schools studies with date
No.
Institute
Percentage
Year
1.
2.
I/We hereby state that, the information given by me/us is true and correct.
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© 2023 Navnirman High
S.M. Joshi Vidyaniketan, P-63 , M.I.D.C., Mirjole, Ratnagiri - 415 639
Phone : 02352 - 228441. E-mail - navnirmanhigh@gmail.com
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