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    Category

    Course

    Student Name

    Date of Birth

    Gender

    Community

    Father's Name

    Mother's Name

    Permanent Address

    City

    Pin Code

    Email

    Student's mobile number

    Father's Mobile No

    Mother's Mobile No

    Name of the School Where Studying Presently

    Academic Performance

    Performance in competitive examinations, if any

    Declaration :

    I am being enrolled as student of this institute,If I get high rank in the competitive examination,I acknowledge and allow SPECTRA ACADEMY to take credit for the same.