Professional Documents
Culture Documents
Mother's Photo
Father's Photo
Child's Photo
STUDENT'S DETAILS
DISABILITY TYPE
2
RESIDENTIAL ADDRESS :
C/O F. LALENGTLUANGA HOUSE NO T-16(A), TUIVAMIT, AIZAWL AIZAWL MIZORAM INDIA 796009
PERMANENT ADDRESS :
C/O F. LALENGTLUANGA HOUSE NO T-16(A), TUIVAMIT, AIZAWL AIZAWL MIZORAM INDIA 796009
PARENT INFORMATION
FATHER MOTHER
a). Name : MR. F. LALENGTLUANGA MRS. B. LALFAKMAWII
b). Qualification :
c). Designation :
d). Organization :
i). Aadhaar No :
j). PAN No :
k). Alumni :
l). Alumni Year :
m) Passing Class :
.n). College/University :
o). Nationality :
p). DOB :
GUARDIAN INFORMATION
I/We hereby certify that the above information provided by me/us is correct, if the information is found to be
incorrect or false, the ward shall be automatically disqualified from Selection/Admission without any correspondance.
I/We understand that the Application/Registration does not guarantee admission to my ward. I agree to abide by the
rules and regulations of the institution.
Date : 10/02/2024 Signature of the Parent/Guardian