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Samata International School, Kopargaon : Admission Form
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Name of Candidate (FILL IN BLOCK LETTERS)
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Date of Birth
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DD
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YYYY
Admission Sought in Class
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Grade IX marks are needed only for admission in XI
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Division (Applicable Only for XI STD)
JEE
NEET
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If JEE which subjects preferred
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If NEET which subjects preferred
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Day Scholar
Hosteller
Last School Attended
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Medium of Instruction
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Father's Details
Father's Name
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Occupation
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Qualification
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Mobile No.
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Permanent Address Details
Permanent Address
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Telephone No. with STD Code
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Pin Code
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