Kandukur Public School
Near ICICI Bank, Pamur Road, Kandukur 523105. Prakasam (Dt), A.P
APPLICATION FORM FOR ADMISSION RESERVATION
Class to be admitted with
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Day
Year
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Gender
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Student Details
Name
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Mr.
Mrs.
Prefix
First Name
Middle Name
Last Name
Date Of Birth
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Nationality
Religion
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Caste
Mother Tongue
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Details of
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Rows
Father
Mother
Name
Educational Qualification
Occupation
Permanent Address
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Street Address
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Resident Address
Street Address
Street Address Line 2
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Preference of Activities (choose any two)
DECLARATION BY THE PARENT
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