Student's Name :
  (As per previous school records/birth certificate)
   
Admission to Grade :
   
Age : Date of Birth : DD Month Year
   
Place of Birth :   District :
         
State :   Mother Tongue :
         
Religion / Caste /
Sub-Caste :
  Nationality :
Father Name :
   
Qualification & Occupation :
   
Mother Name :
   
Qualification & Occupation :
   
Total Annual Income of Parents :
   
Residential Address :
   
Pincode :
   
Phone No. (Residential) : Mobile No. :
   
Email :
Name & Address of previos schools studies with date
No. Institute Percentage Year
1.
2.
   
I/We hereby state that, the information given by me/us is true and correct.
   
 
 
 
 
     
    © 2018 Navnirman High
S.M. Joshi Vidyaniketan, P-63 , M.I.D.C., Mirjole, Ratnagiri - 415 639
Phone : 02352 - 228441. E-mail - navnirmanhigh@gmail.com
 
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