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Chand Ram Public [Sr. Sec.

] School
Nangal Thakran Delhi 110039
Admission and Registration Form
Add. No
Class

Date

Name of Candidate : .
Mother Name

: .

Father Name

: .

Date of Birth

: [in Words] ..

Gender

: Male. / Female.

Address

: .

E-Mail

Contact Number

: . Annual Income ...

Subjects:

Cast : Gen/ Sc/ obc/ Minority

: 1... 2... 3.
: 4.... 5. 6..

Additional Subject

: 7.

10th Passing Year & Roll No: ... Board.


Only Child of the Parents: .
FATHER MOTHER DETAILS:
Father

Mother

F/ Name

:.................,

Ph. No

:.................,

Age

:.................,

Qualification

:.................,

Profession

:.................,

Office Add. & Ph. No

Sign. Parents

Principal

Certified that my particulars given in these columns are correct and I have not been disqualified by any board
for appearing at the ensuring examination and no changes in the above particulars will be requested at later
stage.

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