Hatim Admission Application

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Class to Which Admission is Sought

Name of Applicant :

Name of Father/Mother :

Gender :

Male

Female

Caste/Tribe :

Religion :

Marital Status :

Married

Unmarried

Physically Challenged :

Yes

Street Address :

City/Town/Village :

State :

District :

Pincode :

Guardian's Name :

Street Address :

City/Town/Village :

State :

District :

Pincode :

Mobile Number:

Residence Number:

Email ID :

Name of School Last Attended:

Details of Examination:

Examination	Board/Institution	Year of Passing	Percentage(%)	Division	Result
					Awaiting
					Awaiting

Certificates in Sports & Other co-curricular activities

Certificates	Year	Remarks(If any)

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