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  • A Shalini

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    vijay arul
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    This document contains a declaration form for a student named Ashalin with details such as name, gender, caste, date of birth, school details, subjects taken, annual income, admission details, and contact information. The form requires signatures from the student, mother, and father to verify the provided information is correct and no future changes will be claimed.

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    A SHALINI

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    This document contains a declaration form for a student named Ashalin with details such as name, gender, caste, date of birth, school details, subjects taken, annual income, admission details, and contact information. The form requires signatures from the student, mother, and father to verify the provided information is correct and no future changes will be claimed.

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    © All Rights Reserved
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    4 views1 page

    A Shalini

    Uploaded by

    vijay arul
    This document contains a declaration form for a student named Ashalin with details such as name, gender, caste, date of birth, school details, subjects taken, annual income, admission details, and contact information. The form requires signatures from the student, mother, and father to verify the provided information is correct and no future changes will be claimed.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 1

    DECLARATION FORM-STD.

    XI
    CANDIDATE'S NAME AsHALIN T
    MOTHER'S NAME
    SREVATHY
    FATHER'S NAME
    MARUL PRAGA SA M
    V
    SEX OBC GENERAL
    MALE FEMALE CASTE SC ST
    (BC, MBC, BCM, DNC) (OC)

    IS YOUR
    CHILD
    SPASTIC STD. X-BOARD EXAM DETAILS
    DATE OF M
    BIRTH
    YYY
    DYSLEXIC
    BLIND
    Roll no of Board Exam

    Year of Passing
    aol6210
    Name of the Board:
    HANDICAPPED State Board (Specify) CBSE/
    ICSE/ CGOS/ OTHER (Speaify) CRSE
    DEAF
    Name of the Exam:
    SSLC/AISSE(CBSE) /ICSE/IGCSE / ASse
    OTHER (Mention the Name)

    GROUP DETAILS

    Subjects taken English

    (Fill the other subjects taken)

    ANNUAL INCOME:Rs. ********************************* * * * * * * * ************

    IS THIS YoUR
    ONLY CHILD?
    YES NO ADMISSION NO.: DATE OF ADMISSION :

    MINORITY: YES/ NO (Minorities: Muslims, Christians, sikhs, Buddhist, Jain, Parsis)

    AADHAR CARD NO. OF


    THE STUDENT
    aGGo934a5b E EMIS NO. 1505 1480 0219

    MOBILE NO. EMAILID: FATHER *******************************a*an*********** *********as******

    MOTHER:

    I declare that the particulars given above are correct. I will not claim any change in future

    SIGNATURE OF THE MOTHER ***************m**************************************

    SIGNATURE OF THE FATHER **************** ********************** ****** ********

    SiG1ATURE oF TIE SiuDEJT; *******************a*e*********e*********************

    DATE

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