8/22/22, 8:22 PM Admission form Class 11 - Nava Nirman

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Admission Form (Class - XI)

* INDICATES REQUIRED FIELD

ACADEMIC YEAR *

NAME OF CHILD * CLASS *

First Last

PREVIOUS SCHOOL/CLASS IF ANY *

DATE OF BIRTH *

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GENDER * NATIONALITY * AADHAR CARD (UPLOAD FILE)

*
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Choose File No …en

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Max file size: 20MB

RELIGION * COMMUNITY * GEN/OBC/SC/ST

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Choose Any Three

OPTION 1 * OPTION 2 * OPTION 3 *

1) English, Physics, C 1) English, Physics, C 1) English, Physics, Chemi

FATHER'S NAME *

First Last

EDUCATIONAL QUALIFICATION * OCCUPATION *

OFFICE ADDRESS *

Line 1

Line 2

City State

Zip Code Country

PHONE NUMBER * EMAIL *

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8/22/22, 8:22 PM Admission form Class 11 - Nava Nirman

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MOTHER'S NAME *

First Last Management

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EDUCATIONAL QUALIFICATION * OCCUPATION *Nava NEWS Room

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OFFICE ADDRESS
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Line 1

Line 2

City State

Zip Code Country

PHONE NUMBER * EMAIL

RESIDENTIAL ADDRESS *

Line 1

Line 2

City State

Zip Code Country

SUBMIT

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