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Name of the Pupil
*
Date of Birth
*
MM slash DD slash YYYY
Email
Name and Address of parents/Guardien
*
Address
Street Address
Address Line 2
City
State / Province / Region
Relationship to the applicant
Sex
*
Male
Female
Tel. No. if any
Religion and Caste
Class to which admissionis sought
Class in which pupil is studying at present
Whether eligible for promotion (Attach photo stat copy of last report card ,duly attested Birth Certificate in the case of L.K.G to Class 1 candidates)
Name of the School last attended and medium of instruction
Is the School Recognised by Govt
Yes
No
Any other relevant Information
Does the Pupil have any physical or learning disability,If so Please Specify
Is any brother / sister studying in Nava Jeevan Public School at present (give name and class)
Is any one of the parents an employee of Nava Jeevan High School or COTR or NTC ? Mention the name
Is the Pupil himself Ex-Student of Nava Jeevan High School ? give the reason of leaving and the date of T.C
In case Application form are being filled in for more than the family at present ,mention the name and the class to which admission is sought for other child /children
Any other details which you like to furnish
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