6/30/2021 The Easiest Online Form Builder | JotForm

Registration Form 2013-14

Please fill in the form below.

Roll No:  *

Class :  *

Admitted to  *
 

Admission Base :  *
 

Full Name:  *

Mother Name:  *

Birth Date  *      
Month Day Year

Gender  *

Contact No:  *

Phone Number   -  

Area Code Phone Number

E-mail  * ex: myname@example.com

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Address:  *

Category :  *

Religion :  *

Handicap  *
Yes
No

SSC Marks  *

HSC Marks

1 Sem Marks in %

2 Sem Marks in %

3 Sem Marks in %

4 Sem Marks in %

5 Sem Marks in %

Photo (not compulsory) Choose File No file chosen

Submit Form      Print Form

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