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oe ic 3E ONLY Date of join Fees: Bal ‘Tel. No. een Mont vo Howtel Fees PERSONAL INFORMATION QUESTIONNAIRE, “Seecin Boao ma Pep Bah | — Name in CAPITALS (AS in the application form) __ ATI MAL \i¢ Father's Name MB Shi PARK ASHE 4. (@)Place of Maximum Residence SONEPAT, HARYANA FRONT OR COLONY TN OME, (©) Present Address (with approximate population | NEW, CRSIREOE. CON concent ARIANA ofthe City Town Vilage) Bat FRONT EW ABIRGO! Ny EN (Permanent Ade'ress (with approximate population QE THE UTTLE SCHOLAR /SONEPAT, HARYANN of the City Town Village) i \ 2 LAKH (©) Whether District Headquarter of not YS Ee 5._Fill in the Details below : State & District Retiglon eaten ‘Mother Tongue | Dateof | Married/Single IC iow RARYANA [ino GAtNERAT RIN DI [Slice] SINGLE SONEPAT 6. (a)Parentsalive Es a (b) Ifnot alive, you: oge at the time of father’vmother’s death (©) Parents / Guardians Occupation / Income (as applicable) Particulars | Eduestion Occup: Income per Month ae Pai ARYANR WAOWAIS = UQsc0 T= ‘Mother io MOUSENIFE —- Guardians esses tation] Year | Division & i ISWKOL dog V\ OYAP EER LAR 1042 Equivalent AKBARRQLR a Roe [£9.67 ENGUSA ONY SCHOLAR of brothers and sisters 3 SISTER~ BA- ae ‘ranking amongst brother/sister ‘ Fauna vi Cs Nott) TAYERRS nega meen) Let wie (a gas SE 9. Presens Occy on and Personal Monthly Income, ifany. 10 () NCC. Training (b) Tote! Train # (IT ¥es) (Give Details Below) Total Training [wine [piven | Certifieate Obtained M1.) Pasticipation in Games and Sports = Vs Yes/No Games / Sports Outstanding achlevement If any NUALE TICS GSHORT Y) 20t6 “Jot]S ScHSoL Sheree waceel u oem oom GOT TS* PoSiTION FOOTBALL : eee (Hottie inenst “'S 20 Scoot Q KEEPING PET by SINGING (©) Pasticipation in Extra-Curricular activities ‘Name of Group ctlviey Durston of Participation ‘Oustanding acblevement any, ® ScovrTs Qo\ - 2olk GOAVRLED PLRASWISA b> ‘DRAMA Re lé - 21S ON, (oaee (@) Position of Responsibility / Offices held in NCC/Scouting/ Sports Tear / Extro-Curticular Group and other fields ay we WEAD WE SCHOOL 12, (9) Nature of Commission e+ ESI (6) Choice of Secvice ARMY 13, Number of chances for Commission in ali three services == WL 14, Details of last inverview, ifany (Air/ Navy / Army / Seletion Board) Tie [ometter [ recmesmne [oe [ seteetconne [Seema NA by SPORTS CAPT ols guaran for njuries if any vstlned by &

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