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    BIHAR SCHOOL EXAMINATION BOARD, PATNA REGISTRATION FORM. Intermediate Annual Examination, 2021 : Faculty-Science session [2 ofa —[z o[2]a 9 Colour (G) Pleate filthe form in English & block letters and each word must be separated by a single blank box. (2) Tick (VA the appropriate box. (3) All informations are mandatory excepts be used for only one registration form. 20,2324 &25.(4} One mobile no. can Photograph size :35 mmx 30mm Regular [—] 1. Category 2.College/+2 Code 3. College/+2 Name Signature of aden 4, Student's Name 5. Student's Name in Hn 6. Mother's Name Mother's Name in Hin 7. Father's Name Father's Name in Hindi 8. Date of girth (oD/Mmyyvvy} (As per Matrie/Class x) 9.Matric/Class X passing Board's Name 10.Matric/Class x Board's Roll Code Roll Number 11. Passing Year| 12. Gender Male Female J] Others] 13, Caste category General [] ec O se

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