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Deeksha Convent
Sarbahda, Gaya
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Registration Form
Nursery to Tenth — fill this in to register for admission.
1. Name of the Student *
2. Father's Name *
3. Mother's Name
4. Date of Birth
Recent passport-size photo
5. Gender
Male
Female
6. Religion
Hindu
Muslim
Others
7. Father's Profession
Agriculture
Business
Govt. Service
Others
8. Present Residential Address
Village
Post
P.S.
District
State
Pin Code
9. Mobile
Mobile Number *
10 & 11. Class
In Which Class at Present Reading
In Which Class Do You Want to Seek Admission *
Select a class
Nursery
LKG
UKG
Class 1
Class 2
Class 3
Class 4
Class 5
Class 6
Class 7
Class 8
Class 9
Class 10
Signature of Guardian
I,
, confirm that the information given above is true to the best of my knowledge.
Submit Registration
