CHINMAYA MISSION COLLEGE

Talap, Kannur

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FIRST NAME *

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MIDDLE NAME

LAST NAME

GENDER * Select Gender Male Female

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DATE OF BIRTH *

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BLOOD GROUP* Select blood group A+ A- B+ B- O+ O- AB+ AB-

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CATEGORY Select category Siblings in School From other Institutions of same school or trust NRI Inter State Within State (Inter District) Within District. With valid reason

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RELIGION* Select religion Bahai Buddhist Christian Hindu Islam Jain Judaism Muslim Non-Religion Not Applicable Secular Sikh

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NATIONALITY* Select nationality Afghan Albanian Antarctic Algerian American Samoan Andorran Angolan Antiguan or Barbudan Azerbaijani, Azeri Argentine Australian Austrian Bahamian Bahraini Bangladeshi Armenian Barbadian Belgian Bermudian, Bermudan Bhutanese Bolivian Bosnian or Herzegovinian Motswana, Botswanan Bouvet Island Brazilian Belizean BIOT Solomon Island British Virgin Island Bruneian Bulgarian Burmese Burundian Belarusian Cambodian Cameroonian Canadian Cabo Verdean Caymanian Central African Sri Lankan Chadian Chilean Chinese Chinese, Taiwanese Christmas Island Cocos Island Colombian Comoran, Comorian Mahoran Congolese Cook Island Costa Rican Croatian Cuban Cypriot Czech Beninese, Beninois Danish Dominican Ecuadorian Salvadoran Equatorial Guinean, Equatoguinean Ethiopian Eritrean Estonian Faroese Falkland Island South Georgia or South Sandwich Islands Fijian Finnish Åland Island French French Guianese French Polynesian French Southern Territories Djiboutian Gabonese Georgian Gambian Palestinian German Ghanaian Gibraltar I-Kiribati Greek, Hellenic Greenlandic Grenadian Guadeloupe Guamanian, Guambat Guatemalan Guinean Guyanese Haitian Heard Island or McDonald Islands Vatican Honduran Hong Kong, Hong Kongese Hungarian, Magyar Icelandic Indian Indonesian Iranian, Persian Iraqi Irish Israeli Italian Ivorian Jamaican Japanese Kazakhstani, Kazakh Jordanian Kenyan North Korean South Korean Kuwaiti Kyrgyzstani, Kyrgyz, Kirgiz, Kirghiz Lao, Laotian Lebanese Basotho Latvian Liberian Libyan Liechtenstein Lithuanian Luxembourg, Luxembourgish Macanese, Chinese Malagasy Malawian Malaysian Maldivian Malian, Malinese Maltese Martiniquais, Martinican Mauritanian Mauritian Mexican Monégasque, Monacan Mongolian Moldovan Montenegrin Montserratian Moroccan Mozambican Omani Namibian Nauruan Nepali, Nepalese Dutch, Netherlandic Curaçaoan Aruban Sint Maarten Bonaire New Caledonian Ni-Vanuatu, Vanuatuan New Zealand, NZ Nicaraguan Nigerien Nigerian Niuean Norfolk Island Norwegian Northern Marianan American Micronesian Marshallese Palauan Pakistani Panamanian Papua New Guinean, Papuan Paraguayan Peruvian Philippine, Filipino Pitcairn Island Polish Portuguese Bissau-Guinean Timorese Puerto Rican Qatari Réunionese, Réunionnais Romanian Russian Rwandan Barthélemois Saint Helenian Kittitian or Nevisian Anguillan Saint Lucian Saint-Martinoise Saint-Pierrais or Miquelonnais Saint Vincentian, Vincentian Sammarinese São Toméan Saudi, Saudi Arabian Senegalese Serbian Seychellois Sierra Leonean Singaporean Slovak Vietnamese Slovenian, Slovene Somali, Somalian South African Zimbabwean Spanish South Sudanese Sudanese Sahrawi, Sahrawian, Sahraouian Surinamese Svalbard Swazi Swedish Swiss Syrian Tajikistani Thai Togolese Tokelauan Tongan Trinidadian or Tobagonian Emirati, Emirian, Emiri Tunisian Turkish Turkmen Turks and Caicos Island Tuvaluan Ugandan Ukrainian Macedonian Egyptian British, UK Channel Island Manx Tanzanian U.S. Virgin Island Burkinabé Uruguayan Uzbekistani, Uzbek Venezuelan Wallis and Futuna, Wallisian or Futunan Samoan Yemeni Zambian

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CASTE Select caste Aandi Adhikaari Adi Andhra Adi Dravida Adi Karnataka Adikal Adiyan Adiyodi Agasa Ajila Ambalakkaran Ambalavasi Ammukkudakan Anglo Indian Arandan/ Aranadan Araya Arayavathi Mukkuvan or Mukaya Aremahrati Arunthathiyar Arya Arya Samajisti Assari Ayar Ayiravar Ayyanavar Baira Bakuda Ballal Band Bandari Bathada Bavuri BharatBharathar/Paravan Bhatt Bhattathiri/Bhattathiripaad Billava Bovi Mukayar Brahmin Brotherin Sabha Chaakyar Chakkala Chakkavar Chakkiliyan Chakravar/ Sakravar (Kavathi) Chakyar Chalavar Chamar Chandala Chaptegra Chavalakkaran Chembakaraman Chembotti Chemman/Semman/Chemmar Cheramar/Cherama/Cheraman Cheruman Chetties Chettiyar Cholanaickan Chorthapanikkar Choyi Church Of South India[CSI] Coorg Devadasi Devadiga Devamamgalath Nair Devanga Dheevara Domban Earadi Eesayi Vellala Embran Embranthiri Eravallan Ezhava Ezhavathi Ezhuthachan Ganika Ganjam Reddi Gatti Golla Gouda Saraswatha Bhrahmanar Goudar Gounder /Vellala Gounder/ Nattu Gounder/ Pala Gounder/ Poosari Gounder / Pala Vellala Gounde Gowda Gupthan Gurukkal Gurukkal [chittothidam] Hasla Hegde Hill Pulaya Hindu Nadar Hindu Vaishya Holeya Hosangi Ilayath Illath Nair Irayar Irular, Irulan Iruman Ivanjalikkal Church Izhavan/ Ishavan/ Ezhavan/ Ezhuva/ Izhuva/ Ishuva/ Izhuvan/ Ishuvan/ Ezhuvan/ Izhava Izhavan/ Ishavan/ Illuva/ Illuvan/ Irava/Iruva Jain Jangam Jogi Kadaiyan Kadar/Wayanad Kadar Kaduppattan Kaikolan Kaimal Kakkalan Kakkan Kalari Kurup / Kalari Panicker Kaldiyan Siriyan Christian Kalladi Kallassari Kallatt Kurupp/Kallatta Kurupp Kalthachan Kammala Kammalaar Kamsala Kanakkan Kani / Kaniyan /Ganaka/ Kanisan Kamnan Kanikaran, Kanikkar Kanisu / Kaniyar Panicker Kannadiyan Kannan Karavazhi Pulayan Karimpalan Karnataka Kotta Bhrahmanar Kartha Karuvan Kattunayakan Kavara Kavudiyaru Kavuthiyan / Aduthon Kelasi(Kalasi Panicker) Kerala Mudali Kiriyath Nair Kitaran Kittavoo/Kidav Knanaya Catholic Knanaya Yakobite Kochuvelan Kodaya Kodigar Kodigara Kodikshathriya Kodiyava Kolan Kolaya Kollan Komaran Konar Kongini Kongu Navithan Kongu Vellala Koodan Koosa Koraga Koteyar Krishnanvaka Kshathriya Unnithiri /Kshathriya unithiri Kshathriyaar Kshatriya Ksheeragara Kudiya Kudumban Kudumbi Kulala Kulala Nair/ Andhra Nair / Anthura Nair) Kumarakshathriya Kumbaran Kuravan/Kuravar Kurichchan/ Kurichiyan Kuruba Kurukkal Kurumans/Mullu Kuruman/ Mulla Kuruman/ Mala Kuruman Kurumba Pulayan Kurumbas/ Kurumbar/ Kurumban Kurupp Kusavan Latin Catholic Limgayath Ambalakkaran Maadambi Maalapandaram Maarayan Madappathi Madivala Maha Malasar Mahendra-Medara Maila Mala Pulayan Mala Panickar Mala Vettuvan Malai Arayan, Mala Arayan Malai Pandaram Malai Vedan/ Malavedan Malakkuravan Malangara Orthadocs Siriyan Christian Malangara Yakkobaya Siriyan Christian MalangaraKatholic Malasar Malayala Kammala Malayan Malayan/ Nattu Malayan/ Konga Malayan Malayarayar Malayipanikkar Mallar Maniyan Maniyani Mannadiyar/Mandadiyar Mannan Mannan/Pathiyan/Peruvannan/vannan/velan Mappila Marar Marati Maravan Marthomma Christyan Maruthuvar Matha/Matha Pulayan Mavilan Mayar Melakudi Melekkaaraar Menon Mogaveera Moger Moopar / Kallan Mooppan Kallan Mooppar Moosari Moosath Moothan Moothath Muchi Mukhari [ Moovari ] Mukkulam Muliyas Mundala Muniyani Muslim Muslim Muthuraja Muthuvan/ Mudugar/ Muduvan Naattupattar Naavithar Nadar included in SIUC & Nadar belonging to Christian religious denominations other than the SIUC Nagarathar Naikkan Nair Nair Kurupp Nalakeyava/Nalkadaya Nambeeshan Nambi Nambiar Nambidi Nambiyathiri Namboothiri/Namboothirippaad Nayadi Nayanar Karakkattidam Nayanar Karakkattidam Nayanar Puthiyadam Nayanar Puthiyadam Nedungadi Nedungadi Nerian Nulayan Odan Odde/Boyan Oorali Nair Other Muslims Paandibudara Padanna/Padannan Pallan/Palluvan/Pulluvan Palleyan/ Palliyan/ Palliyar/ Paliyan Pallichan Pamba Pulayan Pambada Panan Pandala Pandi Kammala Pandithar Pandithattan Paniakkal Panikkar Paniyan Panji Panniyar Paradesi Paraiyan/Parayan/Paraya/Paraiya/Parayar Pariyari Pathukkudi/Pathukudi/Tharakan/pathukudi mandadiyaar Pattariya Penthakkose Perumkollan Pilla Pisharodi Poojari Poopandaram Pothuval Potty Pulayan/Pulayar/Waynad Pulayan/Waynadan Pulayan Pulvanair Purusha Pushpaka Pushpaka unni/Pushpa unni Puthirai Vannan Raja Rajapur Ramakshathriya Raneyar Roman Catholic[RC] Saliya/ Chaliya/Chaliyan Samagara Samantha Samantha Karthav Samantha Karthav Samantharaja Samban Sambavar Saraswat Non-Brahmin Scheduled Caste converts to Christianity Senai Thalavar (Elavaniar) Servagara Seventhday Advantist Shaiva Pilla Shaiva Vellala Shenguthan Shoodrar Sidhana Sidhanar Siriyan Catholic [changed] Siriyan Kathalic / syro malabar Catolic Sourashtra Sree Sagara Hindumatha Swaroopathil Nair Swathandra Siriyan Christian Tamil Brahmanar Ten Kurumban/ Jenu Kurumban Thachan Thachanadan/ Thachanadan Moopan Thachar Thalayanair Thamban Thambi Thamburan Thandan Tharagan/Tharakan Thattan Theeyaattunni Thirumulpaad Thiyyan/ Thiyya Tholkolan Thoti Thottian Thulu Brahmin Ulladan, Ullatan Unni Unnithan Unniyathiri Uraly Vaazhunnavar/Keezhooridam Vaduvans /Vadugan /Vadukar /Vaduka (Vadukan) Vaishyan Vakkaliga Valan Valayanjazhi Valinijiar Vallon Valluvan Valyathan Vanian /Vaniyan Vaniar Vanibha Chetty/ Vaniya Chetty Vanika/Vanika Vaisya Vannathan Variar/Varyar/Warriar/Warrier Varma Veerasaiva Velaan (Velaar) Vellala Vellodi Veluthedan Veluthedathu Nair Vetan/Vettuvan/Pulaya Vettuvan Vetta Kuruman Vettakkattu Nair Vettuva Navithan Vilakkithala Nair (Vilakkithalavan) Vilkurup Villasan Vishavan Viswabrahmanan / Viswabrahmanar Viswakarma Viswakarmala Yadava Yahova Sakshikal Yogi / Yogeeswara Caste information is for government use only,not for any discrimination from the part of the school.

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CASTE CATEGORY * Select caste category General SC ST OBC OEC Other backward

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AADHAR *

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MOTHERTONGUE* Select mother tongue Assamese Bengali Gujarati Hindi Kannada Kashmiri Konkani Malayalam Manipuri Marathi Nepali Oriya Punjabi Sanskrit Sindhi Tamil Telugu Urdu English Bodo Mising Dogri Khasi Garo Mizo Bhutia Lepcha Limboo French Angami Ao Arabic Bhoti Bodhi German Kakbarak Konyak Laddakhi Lotha Maithili Nicobaree Oriya (Lower) Persian Portuguese Rajasthani Russian Sema Spanish Tibetan Zeliang Other Tulu

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GRADE * Select grade I BA ENGLISH II BA ENGLISH III BA ENGLISH I B COM CO-OPERATION II B COM CO-OPERATION III B COM CO-OPERATION I BBA II BBA III BBA I BCOM II BCOM III BCOM Training Class XI COMMERCE XII COMMERCE

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ACADEMIC YEAR APPLIED FOR * Select academic year applied for 2025-2026

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MOBILE NUMBER *

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CONTACT EMAIL-ID *

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VERIFICATION CODE

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HOUSE NAME *

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STREET *

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LANDMARK *

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DISTRICT * Select district Adilabad Agra Ahmedabad Ahmednagar Aizawl Ajmer Akola Alappuzha Aligarh Alirajpur Allahabad Almora Alwar Ambala Ambedkar Nagar Amrawati Amreli District Amritsar Anand Anantapur Anantnag Angul Anjaw Anuppur Araria Ariyalur Ashok Nagar Auraiya Aurangabad Aurangabad Azamgarh Badaun Badgam Bagalkot Bageshwar Bagpat Bahraich Balaghat Baleswar Ballia Balrampur Banaskantha Banda Bandipore Bangalore Rural District Bangalore Urban District Banka Bankura Banswara Barabanki Baramula Baran Bardhaman Bareilly Bargarh Barmer Barpeta Barwani Bastar Basti Bathinda Beed Begusarai Belgaum Bellary Betul Bhadrak Bhagalpur Bhandara Bharatpur Bharuch Bhavnagar Bhilwara Bhind Bhiwani Bhojpur Bhopal Bidar Bijapur Bijnor Bikaner Bilaspur Bilaspur Birbhum Bishnupur Bokaro Bolangir Bongaigaon Boudh Bulandshahr Buldhana Bundi Burhanpur Buxar Cachar Central Delhi Chamarajnagar Chamba Chamoli Champawat Champhai Chandauli Chandel Chandrapur Changlang Chatra Chennai Chhatarpur Chhindwara Chikballapur Chikmagalur Chitradurga Chitrakoot Chittoor Chittorgarh Churachandpur Churu Coimbatore Cooch Behar Cuddalore Cuttack Dahod Dakshin Dinajpur Dakshina Kannada Daman Damoh Dantewada Darbhanga Darjeeling Darrang Datia Dausa Davanagere Debagarh Dehradun Deoghar Deoria Dewas Dhalai Dhamtari Dhanbad Dhar Dharmapuri Dharwad Dhemaji Dhenkanal Dholpur Dhubri Dhule Dibang Valley Dibrugarh Dimapur Dindigul Dindori Diu Doda Dumka Dungapur Durg East Delhi East Garo Hills East Godavari East Kameng East Khasi Hills East Sikkim Ernakulam Erode Etah Etawah Faizabad Faridabad Faridkot Farrukhabad Fatehabad Fatehgarh Sahib Fatehpur Firozabad Firozpur Gadag Gadchiroli Gajapati Gandhinagar Ganganagar Ganjam Garhwa Gautam Buddha Nagar Gaya Ghaziabad Ghazipur Giridih Goalpara Godda Golaghat Gonda Gondiya Gopalganj Gorkakhpur Gulbarga Gumla Guna Guntur Gurdaspur Gurgaon Gwalior Hailakandi Hamirpur Hamirpur Hanumangarh Harda Hardoi Haridwar Hassan Haveri District Hazaribagh Hingoli Hissar Hooghly Hoshangabad Hoshiarpur Howrah Hyderabad Idukki Imphal East Imphal West Indore Jabalpur Jagatsinghpur Jaintia Hills Jaipur Jaisalmer Jajapur Jalandhar Jalaun Jalgaon Jalna Jalore Jalpaiguri Jammu Jamnagar Jamui Janjgir-Champa Jashpur Jaunpur District Jehanabad Jhabua Jhajjar Jhalawar Jhansi Jharsuguda Jind Jodhpur Jorhat Juhnjhunun Junagadh Jyotiba Phule Nagar Kadapa Kaimur Kaithal Kalahandi Kanchipuram Kandhamal Kangra Kanker Kannauj Kannur Kanpur Dehat Kanpur Nagar Kanshiram Nagar Kanyakumari Kapurthala Karaikal Karauli Karbi Anglong Kargil Karimganj Karimnagar Karnal Karur Kasaragod Kathua Katihar Katni Kaushambi Kawardha Kendrapara Kendujhar Khagaria Khammam Khandwa Khargone Kheda Khordha Kinnaur Kishanganj Kodagu Koderma Kohima Kokrajhar Kolar Kolasib Kolhapur Kolkata Kollam Koppal Koraput Korba Koriya Kota Kottayam Kozhikode Krishna Kulu Kupwara Kurnool Kurukshetra Kushinagar Kutch Lahaul and Spiti Lakhimpur Lakhimpur Kheri Lakhisarai Lalitpur Latur Lawngtlai Leh Lohardaga Lohit Lower Subansiri Lucknow Ludhiana Lunglei Madhepura Madhubani Madurai Mahamaya Nagar Maharajganj Mahasamund Mahbubnagar Mahe Mahendragarh Mahoba Mainpuri Malappuram Malda Malkangiri Mamit Mandi Mandla Mandsaur Mandya Mansa Marigaon Mathura Mau Mayurbhanj Medak Meerut Mehsana Mewat Midnapore Mirzapur Moga Mokokchung Mon Moradabad Morena Mukatsar Mumbai City Mumbai suburban Munger Murshidabad Muzaffarnagar Muzaffarpur Mysore Nabarangpur Nadia Nagaon Nagapattinam Nagaur Nagpur Nainital Nalanda Nalbari Nalgonda Namakkal Nanded Nandurbar Narmada Narsinghpur Nashik Navsari Nawada Nawan Shehar Nayagarh Neemuch Nellore New Delhi Nicobar Nizamabad North 24 Parganas North and Middle Andaman North Cachar Hills North Delhi North East Delhi North Goa North Sikkim North Tripura North West Delhi Nuapada Osmanabad Pakur Palakkad Palamu Pali Palwal Panchkula Panchmahal Panipat Panna Papum Pare Parbhani Pashchim Champaran Pashchim Singhbhum Patan Pathanamthitta Patiala Patna Pauri Garhwal Perambalur Phek Pilibhit Pithoragharh Poonch Porbandar Prakasam Pratapgarh Pratapgarh Puducherry Pudukkottai Pulwama Pune Purba Champaran Purba Singhbhum Puri Purnia Purulia Rae Bareli Raichur Raigad Raigarh Raipur Raisen Rajauri Rajgarh Rajkot Rajnandgaon Rajsamand Ramanagara Ramanathapuram Ramgarh Rampur Ranchi Rangareddi Ratlam Ratnagiri Rayagada Rewa Rewari Ri-Bhoi Rohtak Rohtas Rudraprayag Rupnagar Sabarkantha Sagar Saharanpur Saharsa Sahibganj Saiha Salem Samastipur Samba Sambalpur Sangli Sangrur Sant Kabir Nagar Sant Ravidas Nagar Saran Satara Satna Sawai Madhopur Sehore Senapati Seoni Seraikela and Kharsawan Serchhip Shahdol Shahjahanpur Shajapur Sheikhpura Sheohar Sheopur Shimla Shimoga Shivpuri Shravasti Sibsagar Siddharthnagar Sidhi Sikar Sindhudurg Singrauli Sirmaur Sirohi Sirsa Sitamarhi Sitapur Sivagangai Siwan Solan Solapur Sonbhadra Sonepat Sonitpur South 24 Parganas South Andaman South Delhi South Garo Hills South Goa South Sikkim South Tripura South West Delhi Srikakulam Srinagar Subarnapur Sultanpur Sundargarh Supaul Surat Surendranagar Surguja Tamenglong Tehri Garhwal Thane Thanjavur The Dangs The Nilgiris Theni Thiruvallur Thiruvananthapuram Thiruvarur Thoothukudi Thoubal Thrissur Tikamgarh Tinsukia Tirap Tiruchirappalli Tirunelveli Tiruppur Tiruvannamalai Tonk Tuensang Tumkur Udaipur Udham Singh Nagar Udhampur Udupi Ujjain Ukhrul Umaria Una Unnao Upper Subansiri Uttar Dinajpur Uttara Kannada Uttarkashi Vadodara Vaishali Valsad Varanasi Vellore Vidisha Villupuram Vishakhapatnam Vizianagaram Warangal Wardha Washim Wayanad West Delhi West Garo Hills West Godavari West Kameng West Khasi Hills West Sikkim West Tripura Wokha Yadagiri Yamuna Nagar Yanam Yavatmal Zunheboto

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PIN *

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STATE * Select state Andhra Pradesh Arunachal Pradesh Assam Bihar Chhattisgarh Dhaulagiri Goa Gujarat Haryana Himachal Pradesh Jammu and Kashmir JHARKAND Jharkhand Karnataka Kerala Lakshadweep Madhya Pradesh Maharashtra Manipur Meghalaya Mizoram Nagaland New Delhi Odisha Odisha Pondichery Province 5,Lumbini Punjab Rajasthan Sikkim Tamil Nadu Telangana Tripura Uttar Pradesh Uttarakhand West Bengal WEST BENGAL

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Permanent Address [ same as present address ]

HOUSE NAME *

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STREET *

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LANDMARK *

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DISTRICT * Select district Adilabad Agra Ahmedabad Ahmednagar Aizawl Ajmer Akola Alappuzha Aligarh Alirajpur Allahabad Almora Alwar Ambala Ambedkar Nagar Amrawati Amreli District Amritsar Anand Anantapur Anantnag Angul Anjaw Anuppur Araria Ariyalur Ashok Nagar Auraiya Aurangabad Aurangabad Azamgarh Badaun Badgam Bagalkot Bageshwar Bagpat Bahraich Balaghat Baleswar Ballia Balrampur Banaskantha Banda Bandipore Bangalore Rural District Bangalore Urban District Banka Bankura Banswara Barabanki Baramula Baran Bardhaman Bareilly Bargarh Barmer Barpeta Barwani Bastar Basti Bathinda Beed Begusarai Belgaum Bellary Betul Bhadrak Bhagalpur Bhandara Bharatpur Bharuch Bhavnagar Bhilwara Bhind Bhiwani Bhojpur Bhopal Bidar Bijapur Bijnor Bikaner Bilaspur Bilaspur Birbhum Bishnupur Bokaro Bolangir Bongaigaon Boudh Bulandshahr Buldhana Bundi Burhanpur Buxar Cachar Central Delhi Chamarajnagar Chamba Chamoli Champawat Champhai Chandauli Chandel Chandrapur Changlang Chatra Chennai Chhatarpur Chhindwara Chikballapur Chikmagalur Chitradurga Chitrakoot Chittoor Chittorgarh Churachandpur Churu Coimbatore Cooch Behar Cuddalore Cuttack Dahod Dakshin Dinajpur Dakshina Kannada Daman Damoh Dantewada Darbhanga Darjeeling Darrang Datia Dausa Davanagere Debagarh Dehradun Deoghar Deoria Dewas Dhalai Dhamtari Dhanbad Dhar Dharmapuri Dharwad Dhemaji Dhenkanal Dholpur Dhubri Dhule Dibang Valley Dibrugarh Dimapur Dindigul Dindori Diu Doda Dumka Dungapur Durg East Delhi East Garo Hills East Godavari East Kameng East Khasi Hills East Sikkim Ernakulam Erode Etah Etawah Faizabad Faridabad Faridkot Farrukhabad Fatehabad Fatehgarh Sahib Fatehpur Firozabad Firozpur Gadag Gadchiroli Gajapati Gandhinagar Ganganagar Ganjam Garhwa Gautam Buddha Nagar Gaya Ghaziabad Ghazipur Giridih Goalpara Godda Golaghat Gonda Gondiya Gopalganj Gorkakhpur Gulbarga Gumla Guna Guntur Gurdaspur Gurgaon Gwalior Hailakandi Hamirpur Hamirpur Hanumangarh Harda Hardoi Haridwar Hassan Haveri District Hazaribagh Hingoli Hissar Hooghly Hoshangabad Hoshiarpur Howrah Hyderabad Idukki Imphal East Imphal West Indore Jabalpur Jagatsinghpur Jaintia Hills Jaipur Jaisalmer Jajapur Jalandhar Jalaun Jalgaon Jalna Jalore Jalpaiguri Jammu Jamnagar Jamui Janjgir-Champa Jashpur Jaunpur District Jehanabad Jhabua Jhajjar Jhalawar Jhansi Jharsuguda Jind Jodhpur Jorhat Juhnjhunun Junagadh Jyotiba Phule Nagar Kadapa Kaimur Kaithal Kalahandi Kanchipuram Kandhamal Kangra Kanker Kannauj Kannur Kanpur Dehat Kanpur Nagar Kanshiram Nagar Kanyakumari Kapurthala Karaikal Karauli Karbi Anglong Kargil Karimganj Karimnagar Karnal Karur Kasaragod Kathua Katihar Katni Kaushambi Kawardha Kendrapara Kendujhar Khagaria Khammam Khandwa Khargone Kheda Khordha Kinnaur Kishanganj Kodagu Koderma Kohima Kokrajhar Kolar Kolasib Kolhapur Kolkata Kollam Koppal Koraput Korba Koriya Kota Kottayam Kozhikode Krishna Kulu Kupwara Kurnool Kurukshetra Kushinagar Kutch Lahaul and Spiti Lakhimpur Lakhimpur Kheri Lakhisarai Lalitpur Latur Lawngtlai Leh Lohardaga Lohit Lower Subansiri Lucknow Ludhiana Lunglei Madhepura Madhubani Madurai Mahamaya Nagar Maharajganj Mahasamund Mahbubnagar Mahe Mahendragarh Mahoba Mainpuri Malappuram Malda Malkangiri Mamit Mandi Mandla Mandsaur Mandya Mansa Marigaon Mathura Mau Mayurbhanj Medak Meerut Mehsana Mewat Midnapore Mirzapur Moga Mokokchung Mon Moradabad Morena Mukatsar Mumbai City Mumbai suburban Munger Murshidabad Muzaffarnagar Muzaffarpur Mysore Nabarangpur Nadia Nagaon Nagapattinam Nagaur Nagpur Nainital Nalanda Nalbari Nalgonda Namakkal Nanded Nandurbar Narmada Narsinghpur Nashik Navsari Nawada Nawan Shehar Nayagarh Neemuch Nellore New Delhi Nicobar Nizamabad North 24 Parganas North and Middle Andaman North Cachar Hills North Delhi North East Delhi North Goa North Sikkim North Tripura North West Delhi Nuapada Osmanabad Pakur Palakkad Palamu Pali Palwal Panchkula Panchmahal Panipat Panna Papum Pare Parbhani Pashchim Champaran Pashchim Singhbhum Patan Pathanamthitta Patiala Patna Pauri Garhwal Perambalur Phek Pilibhit Pithoragharh Poonch Porbandar Prakasam Pratapgarh Pratapgarh Puducherry Pudukkottai Pulwama Pune Purba Champaran Purba Singhbhum Puri Purnia Purulia Rae Bareli Raichur Raigad Raigarh Raipur Raisen Rajauri Rajgarh Rajkot Rajnandgaon Rajsamand Ramanagara Ramanathapuram Ramgarh Rampur Ranchi Rangareddi Ratlam Ratnagiri Rayagada Rewa Rewari Ri-Bhoi Rohtak Rohtas Rudraprayag Rupnagar Sabarkantha Sagar Saharanpur Saharsa Sahibganj Saiha Salem Samastipur Samba Sambalpur Sangli Sangrur Sant Kabir Nagar Sant Ravidas Nagar Saran Satara Satna Sawai Madhopur Sehore Senapati Seoni Seraikela and Kharsawan Serchhip Shahdol Shahjahanpur Shajapur Sheikhpura Sheohar Sheopur Shimla Shimoga Shivpuri Shravasti Sibsagar Siddharthnagar Sidhi Sikar Sindhudurg Singrauli Sirmaur Sirohi Sirsa Sitamarhi Sitapur Sivagangai Siwan Solan Solapur Sonbhadra Sonepat Sonitpur South 24 Parganas South Andaman South Delhi South Garo Hills South Goa South Sikkim South Tripura South West Delhi Srikakulam Srinagar Subarnapur Sultanpur Sundargarh Supaul Surat Surendranagar Surguja Tamenglong Tehri Garhwal Thane Thanjavur The Dangs The Nilgiris Theni Thiruvallur Thiruvananthapuram Thiruvarur Thoothukudi Thoubal Thrissur Tikamgarh Tinsukia Tirap Tiruchirappalli Tirunelveli Tiruppur Tiruvannamalai Tonk Tuensang Tumkur Udaipur Udham Singh Nagar Udhampur Udupi Ujjain Ukhrul Umaria Una Unnao Upper Subansiri Uttar Dinajpur Uttara Kannada Uttarkashi Vadodara Vaishali Valsad Varanasi Vellore Vidisha Villupuram Vishakhapatnam Vizianagaram Warangal Wardha Washim Wayanad West Delhi West Garo Hills West Godavari West Kameng West Khasi Hills West Sikkim West Tripura Wokha Yadagiri Yamuna Nagar Yanam Yavatmal Zunheboto

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PIN *

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STATE * Select state Andhra Pradesh Arunachal Pradesh Assam Bihar Chhattisgarh Dhaulagiri Goa Gujarat Haryana Himachal Pradesh Jammu and Kashmir JHARKAND Jharkhand Karnataka Kerala Lakshadweep Madhya Pradesh Maharashtra Manipur Meghalaya Mizoram Nagaland New Delhi Odisha Odisha Pondichery Province 5,Lumbini Punjab Rajasthan Sikkim Tamil Nadu Telangana Tripura Uttar Pradesh Uttarakhand West Bengal WEST BENGAL

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DOB

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QUALIFICATIONS

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DESIGNATION

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ANNUAL INCOME

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BLOOD GROUP Select blood group A+ A- B+ B- O+ O- AB+ AB-

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MOBILE NO

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Mother Details

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DOB

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QUALIFICATIONS

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DESIGNATION

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OFFICIAL ADDRESS

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BLOOD GROUP Select blood group A+ A- B+ B- O+ O- AB+ AB-

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MOBILE NO

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EMAIL-ID

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RESIDENTIAL ADDRESS

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Admission Details

Option 1 Select option

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Option Subjects Select option subjects

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Option 2 Select option

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Option 3 Select option

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Option Subjects Select option subjects

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Option 4 Select option

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Option Subjects Select option subjects

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Option 5 Select option

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Option Subjects Select option subjects

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Option 6 Select option

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Option Subjects Select option subjects

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Details of the Qualifying Examination

BOARD Select board AISSE CBSE ICSE SSLC Others

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EXAMINATION

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REGISTER NO.

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YEAR OF PASSING

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MEDIUM

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Board Exam Marks

ENGLISH

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MATHS

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MALAYALAM

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HINDI

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SCIENCE

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SOCIAL SCIENCE

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CGPA

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SCHOOL NAME

ADDRESS

PHONE NO

WEBSITE

BOARD

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REASON FOR WITHDRAWAL

IXTH REGISTRATION NO

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IDENTIFICATION MARK 1*

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IDENTIFICATION MARK 2*

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Transport Details

Do you want transport? Select Yes/No Yes No

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BUS BOARDING POINT Select bus boarding point

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Hostel Admission ( Available only to outstation applicants)

HOSTEL ADMISSION( AVAILABLE ONLY TO OUTSTATION APPLICANTS) Select hostel admission No Yes

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PHOTO

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BIRTH CERTIFICATE

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TC

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MARKLIST OF PREVIOUS YEAR

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PASSPORT

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10TH MARKSHEET

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IXTH REGISTRATION CARD

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AADHAR

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NRI Students should upload their passport copy

Terms and Conditions

• All students shall be bound to comply with the rules, regulations, and code of conduct as prescribed by Indira Gandhi Public School. Non-compliance or violation may attract disciplinary measures, including but not limited to suspension or dismissal.
• The School reserves the right to revise tuition fees on an annual basis. Such revision may range between 5% to 10%.
• Transport fees shall be applicable for a period of 10 months during the academic year and shall be payable in full, irrespective of the number of working days or the extent of utilization of the transport facility.

I hereby Declare that the above details are upto my knowledge and appropriate.

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