Imdad Islamic School
Balgona, Bardhaman, West Bengal
Admission Form
Student Details
Name *
Gender *
Male
Female
Blood Group
- Please Select -
O +
O -
A +
A -
B +
B -
AB +
AB -
Date Of Birth *
Previous Class
Admission In Class *
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NURSERY
L.K.G
U.K.G
I
II
III
IV
V
VI
VII
VIII
IX
X
Any Disability
Orphan / Non-Orphan *
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Orphan
Non-Orphan
Aadhaar Card No
Aadhaar Card
Hostel Facility *
Yes
No
Student Photo Upload
Parent Details
Father's Name *
Father's Photo
Father's Ocupation
Father's Mobile No
Mother's Name *
Mother's Photo
Mother's Ocupation
Mother's Mobile No
Guardian's Name
Guardian's Photo
Relation With Guardian
Contact Details
Mobile No *
Email
Village *
Block / Municipality *
District *
Post Office *
Police Station *
City *
Pin Code *
State *
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