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A A DH A A R

B[m Ftdmsa v t^mw t^m sF.-Sn.@ kvIq


AADHAAR ENROLMENT FORM FOR IT @ SCHOOL
Date:............................

A.

Pre. Enrolment No.

B[m ]-Xn-mbn (UID) tiJ-cn-p hnhc

1. Name /t]cv

:.........................................................................................................................................................................................

2.. Date of Birth (P\\XnXn)

:............../.............../................... If not Known, Age (Adn-bn-s-n hb-v) :.............................................

3. Gender : Male (]pcp-j)

4. Name of Mother/Father/Guardian

Female (kv{Xo)

Transgender (at-sX-nepw)

:.........................................................................................................................................................................................

(A/A/c-Imhv)

5. Residential Address (tahn-emkw)

:.....................................................................................................................................................................................

House No and Name (hop \/hop-t]-cv) :.....................................................................................................................................................................................


Landmark, Street Name

:.....................................................................................................................................................................................

Post Office with Pincode

:.............................................................................................................................................................................

Village / City (hntPv / knn)

:.....................................................................................................................................................................................

District (Pn)

:.....................................................................................................................................................................................

State (kwm\w) :............................................................................... Pincode (]ntImUv) :....................................................................................................

tIcf kmcn\mbn tiJcnp hnhc (KYR Plus)

Name of School with School code


kvIqfns t]cpw tImUpw

:..............................................................................................................................................................

2. Admission No. (AUvan-j- \.)

:..............................................................................................................................................................

3. Ration Card No. (tdj ImUv \)

:...............................................................................................................................................................

Verifiers Name & Signature(]cntim[Is t]cpw Hpw)

Signature of Father/Mother/Guardian(c-Im-hns t]cpw Hpw)

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