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DON BOSCO ENGLISH MEDIUM SCHOOL
JUMAIKELA, JASHPUR-496223
REGISTRATION FORM
(Use capital Letter Only)
Full Name:
For Class
--Select--
Nursery
UKG
LKG
Class-1
Class-2
Class-3
Class-4
Class-5
Caste:
--Select--
ST
SC
OBC
Other
Gender:
--Select--
Male
Female
Others
DOB:
Aadhaar No:
Blood Group:
A+
A-
B+
B-
O+
O-
AB+
AB-
BPL:
YES
NO
Father's Name:
Father's Occupation:
Father's Phone No.:
Permanent Address:
Mother's Name:
Mother's Occupation:
Religion:
---Select---
Hindus
Muslims
Christians
Sikhs
Buddhists
Jains
Tribe
Mother_Tongue:
---Select---
English
Hindi
Bengali
Marathi
Telugu
Tamil
Gujarati
Urdu
Kannada
Odia
Malayalam
Punjabi
Assamese
Maithili
Sanskrit
Trible
Nationality:
---Select---
Indian
Others
Father's Signature (With Date)
Mother's Signature (With Date)
The particulers filled in this form are correct and i shall not request for any change to be brought about in future
Date:
Submit