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ADMISSION FORM
Personal Information
Student Name :

Atri Dutta

Father's Name :

Anup Dutta

Category :

GEN

Gender :

MALE

Date of Birth :

12-11-1998

Medium :

ENGLISH

Test Mode :

OFFLINE

Test City / Center :

AURANGABAD

Scholarship :

Label

Course:

All India Test Series for Mains + Advanc +BITS(AE05)

email:

anu_dutta@hotmail.com

Academic Record in last passed out Class

School Name:

Swami Ramkrishna Paramhans Jr. College

Board Name:

Maharashtra State Board

Class :

XI

Marks % :

92

City:

Mumbai

State:

Maharashtra

Applicant's Correspondence Residential Address

(All material would be send through post on the address mentioned here. )
Mailing Address :

A/18,Darbari,Anushaktinagar

City / Town / Tehsil / Taluka :

Mumbai

District :

Mumbai

Pincode :

400094

Telephone Number :

25527045

Mobile Number :

9833307113

Permanent Address
Permanent Address :

A/18,Darbari,Anushaktinagar

City / Town / Tehsil / Taluka :

Mumbai

District :

Mumbai

Pincode :

400094

Telephone Number :

25527045

Mobile Number :

9833307113

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