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Date Of Birth *

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Addhar No *

Previous Class *

Father Name *

Occupation *

Father Mobile No *

Mother Name *

Occupation *

Mother Mobile No

Residence *

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City Name *

PinCode *

Distance of residence from the school in km

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Professors' Colony, Belbanwa, Motihari

+91 9801099080

hvps.motihari@gmail.com

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