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INSTITUTE FOR INSPIRATION & SELF DEVELOPMENT
Name (in block capitals)
Present Address With
Telephone No.:
Phone No. (R)
Office:
E-mail :
Date of Birth:
Course Applied for:
Father’s /Guardian’s Name: :
Mother’s/Guardian’s Name :
Guardian’s Occupation/ Monthly Income (approximately):
Relation
Education
Occupation
Income per month
Father
Mother
Guardian
Name and address with relationship of local guardian (contact No.)
Occupation:
Educational Qualification (Higher Secondary and above):
School/ Board/ University
Division/ Grade
Year
%Marks
Specific Techinical Qualification,
if any:
Religion:
SC/ ST/ OBC ::
Mother Tonue::
State :
District:
Language (s) known (with proficiency)::
Releationship and Rank of relative, if any, in the Armed Forces:
NCC:
Games played with proficiency :
Hobbies :
Have you appeared in SSB earlier? If so state the name of the Board and year:
Who introduced you to this Centre:
Medical History - Normal/ Suffering from any disease: