SAMS COMPUTER EDUCATION
CHAMPUA KEONJHAR , KEONJHAR
Contact: 8917626187
NEW STUDENT ADMISSION
Name of the Student*
Father's name*
Mother's name
Date of Birth*
Gender*
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Male
Female
Transgender
Address
City/Village
State*
District*
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Pin Code
Aadhar Number
Gen/SC/ST/OBC*
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Gen
SC
ST
OBC
Blood Group*
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B+
B-
O+
O-
AB+
AB-
Contact 1*
Contact 2
E-mail Id
Registration Number
Class*
Section*
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Session*
Roll Number
Joining Date*
Duration (In Months)*
App Password (Default - 123456)
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