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St. Xavier's Junior College Provisional Admission Form
Apply only for XI, Science Stream.
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* Indicates required question
Name Father's Name Surname
*
Your answer
10th First Prelim Science Marks
*
Your answer
10th First Prelim Math Marks
*
Your answer
Optional Subject
*
Allotment of optional subjects will be on 'First Come First Served' basis.
IT
Geography
Date of Birth
*
MM
/
DD
/
YYYY
Age
*
Your answer
Sex
*
Female
Male
Name of the Previous School
*
Your answer
Address
*
Your answer
Phone Number
*
Your answer
email id
Your answer
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