MIT BODHI VIDHYALAYA SENIOR SECONDARY SCHOOL, MUSIRI

1. Name of the Student :

2. Gender

Male Female

3. Date of Birth

4. Nationality

5. Religion & Caste

6. Community

7. Mother Tongue

8. Name of Parent / Guardian

a) Occupation

b) Permanent Address :

PIN :

Mobile No :

C) Address for Communication :

PIN :

Mobile No :

9. Personal Mark of Identification :

10. Standard Last Studied and Year of Study :

11. Whether Qualified for Promotion to the higher Standard :

12. Medium of Instruction in the Previous Standard :

13. II Language :

Tamil Hindi

14. Whether School Bus Facilities required :

Yes No

15. Previous School History of the Student :

Yes No

a). Name of the School :

b). Period of Study :

c). Standard :

16. Class to which Admission is sought :

17. Brother(s) / Sister(s) Presently Studying in school :

18. Whether Hostel Required:

Yes No

19. Aadhaar Card No :

a). Father :

b). Mother :

c). Student :

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