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Admission Enquiry Form :
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Students Detail Information :
Gender *	Male Female
First Name *
Last Name *
Class *	V VI VII VIII IX X XI XII +2 Science Other
Board *	CBSE ICSE CHSE Other
School / College *	DAV-CS Pur DAV-Unit-8 DAV-Pokhariput DAV-Kalinga Nagar KV-1, Unit-9 KV-2, CRP Square KV-3, Mancheswar KV-4, Niladri Vihar Loyola Sai International DPS Kalinga St. Xaviers St. Xaviers, Khandagiri St. Xaviers International Prabhujee English Medium ODM Public Venkateswar English Medium Ruchika MBS Others
Candidates Parents / Guardian Information :
Fathers Name
Mothers Name
Telephone / Mobile No. *
Alternate Contact No.
E-mail *
Address :
Qr / House / Plot No *
Street / Colony Name
Area *	Kanan Vihar Damana Sailashree Vihar Niladri Vihar Shree Vihar Sishu Vihar Patia KIIT Nayapalli Unit-4 Shastri Nagar Unit-9 Jayadev Vihar Acharya Vihar Gajapati Nagar V.S.S. Nagar New Govt. Colony Mancheswar Rasulgarh Satya Nagar Sahid Nagar Nalco Nagar LIC Colony Chandrasekhar Pur IRC Village CRP Khandagiri Other
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