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Application Form for Registration
Student's Name
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Aadhar Number
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Date of Birth
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Montessori 1
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Montessori 3
Grade 1
Grade 2
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Grade 11
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Place of Birth
*
Mother tongue
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Nationality
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Select our Branch
St. Xavier's High School, Vyapar Vihar, Bilaspur
St. Xavier's High School, Sirgitti, Bilaspur
St. Xavier's High School,Kota, Bilaspur
St. Xavier's High School,Bharni,(Residential)
St. Xavier's High School,Sarkanda, Bilaspur
St. Xavier's High School,Akaltara
St. Xavier's High School,Mungeli
Contact Information: Residential
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Phone
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Particulars of Father / Mother / Guardian
Name of Gardian/Parent 1
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Name of Gardian/Parent 2
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Relationship with the child
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Mother
Gardian
Relationship with the child
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Father
Gardian
Date of Birth
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Date of Birth
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Qualification
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Qualification
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Occupation
Occupation
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Name of Company
Name of Company
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Work Location
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Approx Annual Income (INR)
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Approx Annual Income (INR)
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Phone/mobile no.
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Email
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Details of Last School Attended
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Montessori 1
Montessori 2
Montessori 3
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
City
*
Percentage of Marks / Grade
*
State
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Reason for change
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Requirements
Do you require transport services facility for your child?
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Has your child been identified with any learning disability?
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Hostel Facility
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Details of Child's Sibling(s)
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Education
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