BES AN-NOOR MODEL SCHOOL(H.S.)
Haripur, Banshihari, Dakshin Dinajpur, WB - 733121
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Admission Form
Student Details
Name of Student *
Admission to Class *
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V
VI
VII
VIII
IX
X
XI (Sc.)
XI (Arts)
XII (Sc.)
XII (Arts)
II
III
IV
Medium *
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Bengali
English
Gender *
Male
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Date Of Birth *
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Schedule Caste
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Religion *
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Citizenship *
Adhar Card No
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Student Photo Upload (20KB-50KB) *
Student Signature Upload (20KB-30KB) *
Parent Details
Father Name *
Father Qualification *
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Illiterate
Primary
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Madhyamik pass
H.S. Pass
Graduate
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Diploma
Phd.
Father Ocupation
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Mother Name *
Mother Qualification *
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Illiterate
Primary
Upper Primary
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H.S. Pass
Graduate
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Phd.
Mother Ocupation
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If Father is Guardian
Guardian Name
Guardian Qualification *
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Illiterate
Primary
Upper Primary
Madhyamik pass
H.S. Pass
Graduate
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Diploma
Phd.
Guardian Ocupation
Annual Income
Contact Details
Permanent Address
Village *
Post Office *
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Pin Code *
District *
State *
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Andhra Pradesh
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Telangana
Tripura
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City *
Communication Phone No *
Whatsapp No *
Email
Name of Exam. Centre (XI) - 2023
Exam Center Address *
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Haripur, Banshihari, Dakshin Dinajpur
Pransagar, Gangarampur, Dakshin Dinajpur
Itahar, Uttar Dinajpur
Laxmipur, Malda
Exam Center Name *
D E C L A R A T I O N
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