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Thangjam Khunou, Khomidok Pangei Road
Contact: 8118936150
Email: mjrahman87@gmail.com

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Admission Form 2021-22

(Note : All * marks are compulsary fields)
Apply For  
Full Name : * (strictly as per the HSLC/CBSE Exam record)
Date of Birth : * (strictly as per the HSLC/CBSE Exam record)
Gender : *        
Aadhaar :
Category *
Permanent Address : * Contact No. :*
Name of the rented house/hostel : (If stay at a rented house/hostel) Contact No. :
Father's Name : *
Mother's Name /Guardian's Name : (if any)
City/Town :
State :
District :
Pincode :
Email :
Subject offered (tick) *
Group I

Group II
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UNDERTAKING
We do hereby undertake that we shall abide by the rules given at Disclaimer given above. We shall not raise any objection to the decissions taken by the Instituite.



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