Garden Valley Public School

Refrence No:- 936fe63d8be7ea2e00f1

Student Name*

Father Name*

Mother Name*

Mobile Number*

Email

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Permanent Address*

Alternate Address*

Select SEX Male Female

State*

District*

Zip Code

Select Date Of Birth*

Date Of Birth in Words*

Select Category Gen. SC ST OBC

OCCUPATION*

NAME OF THE SCHOOL LAST ATTENDED

ADDRESS OF THE SCHOOL LAST ATTENDED

RESULT OF LAST EXAMINATION PASSED FAILED

PERCENTAGE OF LAST EXAMINATION

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