Vill- Hainsi, Post- Para District - Ghazipur ,Uttar Pradesh 233303

Class *

First Name (Candidate's Name) *

Last Name

Gender *

Date of Birth *

Father Name

Father Phone

Father Occupation

Father Photo Image size less then 100 kb

Mother Name

Mother Phone

Mother Occupation

Mother Photo Image size less then 100 kb

If Guardian Is * Father Mother Other

Guardian Name *

Guardian Relation

Guardian Phone *

Guardian Occupation

Guardian Email *

Guardian Photo Image size less then 100 kb

Guardian Address

If Guardian Address is Current Address

Current Address

If Permanent Address is Current Address

Permanent Address

#	Title	Documents
1.

Student Manager