Vimal Jyothi Admission 2024 - Scholarship Registration Form
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NAME *
GENDER *
HOUSE NAME
*
PLACE *
PIN CODE
*
DISTRICT *
STUDENT'S WHATAPP NUMBER *
EMAIL ID
*
Branch Preference 1
*
Branch Preference 2 *
Branch Preference 3
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GUARDIAN NAME *
GUARDIAN MOBILE NUMBER *
SCHOOL NAME
*
Higher Secondary Board (Eg: CBSE, HSE ... etc)
*
PLUS ONE PHYSICS MARK
*
PLUS ONE CHEMISTRY MARK *
PLUS ONE MATHS MARK *
TOTAL PERCENTAGE (PHYSICS, CHEMISTRY AND MATHS) *
REFERENCE PERSON NAME (CLASS TEACHER) *
MOBILE NUMBER
*
RELIGION *
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