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Jaypee Vidya Mandir Chandpur

Vill- Chandpur Poothi Syana Distt. Bulandshahr

9536670111

Email: principal.jvmchandpur@gmail.com, Website: www.jaypeeschools-jvmchandpur.edu.in

Photograph of the student

Information About Student

Name of the student (In block letter)

First Name
Middle Name
Last Name
Date Of Birth
Aadhar No.
Gender
Admission- Old
New

(a) Age as an 1st April of the Academic Year: Day Month year

(Day)
(Month)
(Year)
Father's Name
Mother's Name
Sibling Status(if any)
Present Address
Nationality
Religion
Category-Gen.
OBC
SC/ST
Caste Category
Contact No.
Landline with area code
E-mail ID
Correspondence address

Previous Academic Record

Name of the last attended school with address
Class/Grade
Class Marks Obtained