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Name of the Student:  
Name of the parish:
Name of the School:  
Father's Name:  
Father's Job:  
Mother's Name:  
Mother's Job:
Address:  
State:  
District:  
Land Phone:
Mob:  
Plus TWO Syllabus:  
Total Percentage of Mark        
Interested Courses:
Other Course:
Which State Candidate Likes to Study:  
Name of brothers or Sisters who is studiying for digree final year: