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 First Name*
 Last Name                       

 Date of Birth *

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 Gender*              male         female
 Qualification
 Percentage of deafness %

 Current Address*

 Pin Code*
CLASS (To WHICH ADMISSION IS SOUGHT)

 Phone

 

  
 

 

Residence                 

isd stdtel

Mobile                          

    
   

 Email*                

 

 

 

   
 

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