| 1- Category: |
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Class: |
| OFSS REFERENCE NO *: |
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Stream*: |
| 2- +2 Code: |
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| 3- School Name: |
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| 4- विद्यार्थी का नाम (हिन्दी में): |
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| Student's Name (In English) *: |
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| 5- माता का नाम (हिन्दी में): |
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| Mother's Name (In English) *: |
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| 6- पिता का नाम (हिन्दी में): |
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| Father's Name (In English) *: |
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| 7- Date of Birth *: |
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Gender: |
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| 8- Caste Category: |
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9- Nationality: |
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| 10- Differently abled: |
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Specify if yes: |
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| 11- Religion: |
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| 12- Area: |
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14- Marital Status: |
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| 15- Mobile No*: |
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E-Shikshakosh Id *: |
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| 16- Aadhar No.*: |
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PEN No*: |
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| 18- Email-ID*: |
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| 19- Address:* |
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| Pin Code:* |
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Apaar Id:* |
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| 20- Bank A/C No.*: |
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| 21- IFSC Code:* |
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| 22- Name of the Bank:* |
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| Class 10th School's Name,Code,Roll No, Passing Year |
,,,,TC No:,TC Date: |
| 23- Two Identification Marks of Candidate:* |
i. |
ii. |
| 24- Subjects Offered: |
Note: Tick any one option in the subject section 24.i, ii & iv
| i. CSG1: |
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| ii. CSG2: |
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| iii. ESG: |
,
Vocational
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| iv. (Aditional)ASG: |
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व्यवसायिक शिक्षा: उपरोक्त विषय/ट्रेड के अध्ययन के लिए, विद्यार्थी इन विषयों में से किसी एक का चयन कर सकते हैं।
Security, Beautician, Tourism, Automobile, Retail Management, Electronics & H/W, Beauty & Wellness, Telecom, IT/ITes
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घोषणा:
प्रमाणित किया जाता है कि इस आवेदन पत्र में दी गई जानकारी पूर्णतः सही है।
. . .
Signature of Parent/Guardian
Student's Signature in Hindi
Student's Signature in English
Signature & Seal of Principal
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