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MDN SCHOOL OF EXCELLENCE (CBSE)

S.F. NO. 295/2B13G2B1, POOLAVADI ROAD JUNCTION, UPPAR DAM, DHARAPURAM – 638657

Student Name *

Date of Birth

Gender

Male Female

Class to which admission seeking

Address*

Mother tongue*

Name of the Previous school

Father’s Name*

Father’s Qualification*

Mother's Name*

Mother’s Qualification*

Mobile Number1*

Mobile Number2

Religion*

Caste & Community *

Name of the Guardian

Guardian mobile Number

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