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Select Grade * Select Grade Nursery LKG UKG Grade-1 Grade-2 Grade-3 Grade-4 Grade-5 Grade-6 Grade-7 Grade-8 Grade-9 Grade-10

Full Name of Student *

Date of Birth *

Gender * Male Female Others

Blood Group * Blood Group A positive (A+) A negative (A-) B positive (B+) B negative (B-) O positive (O+) O negative (O-) AB positive (AB+) AB negative (AB-)

Any learning Support required ? * Yes No

Father's Name *

Mother's Name *

Phone Number *

Email Id *