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New To Mkolktadsa

The document is a form for correcting personal information related to a student's admission, including fields for the applicant's name, father's name, date of birth, and current address. It also contains sections for the institution's details and a request for correction of the father's name. Signatures from the applicant, guardian, and head of the institution are required, along with office use instructions on subsequent pages.

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bishop9893
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33 views1 page

New To Mkolktadsa

The document is a form for correcting personal information related to a student's admission, including fields for the applicant's name, father's name, date of birth, and current address. It also contains sections for the institution's details and a request for correction of the father's name. Signatures from the applicant, guardian, and head of the institution are required, along with office use instructions on subsequent pages.

Uploaded by

bishop9893
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as TXT, PDF, TXT or read online on Scribd

kfaewhgzghFKsznc,mmSADgfasfGASsgvfAFs

a. Name (in block capital letters): __________________________


b. Father’s Name (as recorded, incorrect): __________________
c. Date of Birth [DD-MM-YYYY]: _______/_______/________
d. Date of admission in Class V: _______/_______/________
e. Age as on date of admission in Class V: _______________
f. Class in which applicant is reading: ______________________
g. Registration No.: ___________
h. Name of Board’s Examination (appeared/passed): __________
i. Roll No. & Year: _fsghsrgsgsdg_________ of _____
j. Current Address of applicant: ___________________________
k. Mobile No.: _______________ Email ID: ________________

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**2. PARTICULARS OF THE INSTITUTION**


Index No.: _______
Name of School: ________________________________________
School AddrsdzgzrdsgZESFess: ________________________________________
School Phone No.: __________ E-mail: ____________________

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**3. CORRECTION PRAYED FOR**


| Field | From (Incorrect) | To (Correct) |
|-------|------------------|--------------|
| Father’s Name | __________ | __________ |

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**4. Explanation by Head of Institution (if clerical error):**


__________________________________________________________

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**Signaturesgezsgzgzrdhgxz:**
Applicant: ____________________
Guardian: ____________________
Head of Institution (with seal & date): ________________

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**For Office Use Only**


(Following pages contain instructions and list of required documents.)

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**

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