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Lovedale Admission

Name(As per given in Birth Certificate) *

Date of Birth *

Gender *

Contact Mobile *

Contact Landline

Email *

Blood Group

Place Of Birth

Religion *

Caste *

Category *

Aadhar No

Mother Tongue *

Identification Mark

Differently Abled

Parent Details

Father's Name(As per given in Birth Certificate) *

Mother's Name(As per given in Birth Certificate) *

Father's Qualification/Occupation

Mother's Qualification/Occupation

Place Of Work

Mother's Mobile

Father's Mobile

Mother's Email

Father's Email

Sibling Details

Name

Standard

Division

Current Address *

Street

City

Street2

Pin code

State

Country

Same as Current Address

Permanent Address *

Street

City

Street2

Pin code

State

Country

Need Hostel Facility

Need Bus Facility

Education and Schools

Previous School Name

Previous School Address

Standard Last Attended

Applying for Course *

Standard to which admission is sought *

Admission to which academic year is sought *

Passport Photo(Max Size: 200kb) *

Birth Certificate(Max Size: 500kb) *

Transfer Certificate(Max Size: 500kb)

Aadhar

Health or Special Needs

Differently Abled

Alergetic

Diabetic

Visually Impaired

Breathing Problems

Other Health Problems

I do hereby declare that all the information given above is true to the best of my knowledge and belief.