St. Xavier's Primary                                 Admission Registration Form, Year: 2021-22
For I Std., Age 6 +, (Born between 1st Oct. 2014 and 31st Dec. 2015)
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Admission Required For *
Name   Father's Name   Surname *
Father's Occupation *
Mother's Name *
Mother's Occupation *
Date of Birth *
MM
/
DD
/
YYYY
Age *
Sex *
Address *
Phone Number *
email id
Assist Your Child Blossom to the Full
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