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vikings

journey to new worlds


entree form
name:
member id: class:
section: roll no:
year:
father's name:
mather's name:
date of birth:
blood group:
current address:

permanent address:

residence tel. no:


mobile no:
fax:
e-mail:
website:

applicant's signature:
authonsed signature:
date:
date:

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