Student's Admission Form

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Student's Admission Form

Admission form for the students of The Bishnukant Jha Foundation

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* Indicates required question

Email *

Your email

Name of the student *

Your answer

Student's Date of Birth *

MM

/

DD

/

YYYY

Students' Adhar Number/Birth Certificate *

Your answer

Gender *

Boy

Girl

Others

Father's Name *

Your answer

Mother's Name *

Your answer

Contact Number *

Your answer

Emergency Contact Number/ Person *

Your answer

Which grade is the student in? *

Your answer

Name of the Previous School

Your answer

Address of the student

Your answer

One Time Donation of Rs. 200 paid for Admission *

Yes

No

Send me a copy of my responses.

Submit

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