Govt.

Recognised
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-<4r)\ CCDN\/ENT BHI\7APUR
'Y,t\\ Dist. NAGPUR
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-d?)d6aroe .I / 5 Register No.
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Name ofthe student in full
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2l lMothe/s Name 3)Retigion Hihfld
4l casw Loolhi 5)Nationality Thrlicth
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6) Place of Birth _ -li Vsrt_ l

7) DateofBirth

(both in figure & words )

8)

s) DateofAdmission 9_9 -06- 2olz

10) Progress t
FrLi
11) conduci____ .lAadd_
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i2) Date ofSchcotteaving ..-...
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13) Standard in which studying & since !,/hen

14) Reasons for leaving school

15) Remarks 6

Ceililidd that abole inlbrmation ili;recorrlarce \'ith rhe School Regisrer

HdatrMaste,
Cr0.c..r (,Heid,MasE8iwrrtlr
Dated: o l^s -z-o rd cREscBhbUnge,fi BHtyl/ApuR
Dlsl. Nagpur