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PRATIBHA PUBLIC SCHOOL

(UNDER ARYABHATTA EDUCATIONAL & SOCIAL ENHANCEMENT TRUST)
Affiliated To CBSE, New Delhi. Affiliation No.:330788

Sant Colony, S.D.O Court, P.O-B.M.P-7, Katihar, Bihar-854106
Administrative Office : Near North Bihar Gramin Bank, Mirchaibari, Katihar

DATE* :
NAME OF THE STUDENT* :
DATE OF BIRTH* :
MOTHER'S NAME* :
FATHER'S NAME* :
ADDRESS* :
PHONE NO.* :
RELIGION* :
NATIONALITY* :
CATEGORY* : OBC/SC/ST/General
GENDER* : Male/Female
HANDICAPPED* : Yes/No
ONLY CHILD* : Yes/No
ANNUAL INCOME OF FATHER :
PHOTO* :
CLASS SOUGHT FOR* :
PREVIOUS SCHOOL DETAILS* :
STUDENTS'S SIGNATURE
PARENT'S/GUARDIAN'S SIGNATURE
HEALTH CERTIFICATE
BIRTH/TRANSFER CERTIFICATE
PREVIOUS GRADE CARD
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