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Note: Please read the form carefully before filling it. The form should be filled by Student/Parents. Please do not leave any field unfilled. Fields marked with * are mandatory. An Incomplete form will be rejected. |
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Student Detail |
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User
Name (Email Address) * |
[Must Be a valid Email ID] |
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Password
* |
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BVN Scholar No./Admission No.* |
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Gender (F/M)* |
F
M |
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Student Full Name* |
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Date of Birth * |
 [dd.mm.yyyy] |
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Residential Address * |
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Current Class* & Section* |
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Phone No. with STD Code |
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Father Name * |
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Father Email ID |
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Mother Name * |
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Father/Mother Mobile No. * |
[Only One Active No] |
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Upload Photograph (Passport Size) |
(file size : upto 1 MB; dimension : width 150px, height 200px) |
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I have read instructions and accept the terms
and conditions |
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