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Name

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Father's Name

:

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About family

:

Boy      1 : .............................................................................

             2 : .............................................................................

Girl      1 : .............................................................................

             2 : .............................................................................

Educational Qualification

:

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Present address

:

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Phone Nos.

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Mobile Nos.

:

Year of study in the College

:

Year of completion the study

:

Achievements

:

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Suggestions for progress

:

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CONSENT-LETTER

I ..................................................................................... accepts with pleasure the membership of Seth Motilal Shikshan Sansthan Purva Chhatra Parishad, Jhunjhunu and sending herewith a  membership fees Rs. ....................... by Cash/Draf/Cheque No. ............................... dated ..........................

Dated: ....................................

Signature:

Name: ....................................................................