SARBERIA AN-NOOR MISSION

Student Basic Details :

Student Passport Size Photo (Max Size: 2MB, JPG, PNG, JPEG)* Placeholder Image

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Admission For*

Student Name*

Student DOB*

Class*

Family Details :

Father Name*

Father Qualification

Father Monthly Income

Father occupation

Mother Name*

Mother Qualification

Mother occupation

Address :

Village

Post Office*

Police Station*

DIST*

PIN*

Full Address*

Previous School Details :

Previous School Name

Village

Post Office

Police Station

DIST

Full Address*

If father/mother/guardian serves in government-private organization

Name in organization

Rank Of this organization

Some Personal Information

Who will bear the cost of education?

Who earns in the family?

Number of family members...?

What is the total amount of land of the family?

What is the amount of land of Vitabari?

What is the amount of arable land?

How is the infrastructure of the house?

If the student/girl is affected by any disease, name of the disease.

Blood Category

E.C.G report

Student's weight

Height (Height)

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SARBERIA AN-NOOR MISSION

Admission Form

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