Form No. SCS55983   |   Applied For Class:  Class 3  | Applied Before? –  No | DOB:16/01/2008 | Sex:Male

Candidate

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Contact No.:  09973159269 
Email: [email protected]
Blood Group: B+
Place Of Birth: Gaya
Aadhar No.: 56676889999
Living With: Both (दोनों के साथ)
Caste Category: General
Religion:Hinduism
Mother Tongue: English
Date Of Birth: Gaya
Nationality: Indian
Parent Status: Both

Residential Address : 
823001
Permanent Address : 
823001

Mother

tryyu
Annual Income: 40000
Contact No.:  09479719541 
Email: [email protected]
Occupation: Private Services
Designation : Sr. Executive
Qualification : Guaduate
Organization: Radhadevi Dental Clinic
Address:

bata more, tekari road, above chotelal tilkut bhandhar,gaya

Father

s p agrawal
Annual Income: 50000
Contact No.:  07091099301 
Email: [email protected]
Occupation: Business Man
Designation : General Manager
Qualification : Guaduate
Organization: Radhadevi Dental Clinic
Address:

A.N. Road Gaya

Local Guardian

Name : eawaas

Phone No. : 7631745788

Relation With Child : uncle

Local Guardian’s Address : 
bata more, tekari road, above chotelal tilkut bhandhar,gaya

Previous And Present School Details

School Name : kaaldrishti2

City / State : gaya

Reason For Leaving
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Health Details

Allergy / Ailment
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Physical Handicap Disability
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 Any Other Health Problem
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