Student Prmo2019
Student Prmo2019
Student Prmo2019
DATE OF BIRTH : D D M M Y Y Y Y
GENDER : (Male/Female)
(Male/Female)
(Male/ Female)
: /STANDARD
CLASS : _______________________________________________________
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ CITY: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
DISTRICT : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ STATE : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
PINCODE : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ MOBILE NO _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Declaration: I hereby declare that the details furnished herein are true to the best of my knowledge.
DATE :