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Student Firstname
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Middlename
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Lastname
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Name as you require on the Certificate
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Birthdate
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Gender
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Residence Address
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City
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State
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Andhra Pradesh
Andaman and Nicobar
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Passed Class/Standard (0 means KG)
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Jr. Kg.
Sr. Kg.
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2nd STD
3rd STD
4th STD
5th STD
6th STD
7th STD
8th STD
9th STD
10th STD
11th STD
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Aggregate Percentage
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Board
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School Name
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City
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State
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Andhra Pradesh
Andaman and Nicobar
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadar and Nagar Haveli
Daman and Diu
Delhi
Lakshadweep
Puducherry
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
Parent/Guardian Firstname
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Parent/Guardian Lastname
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Relation to student
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Father
Mother
Company
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Designation
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Department
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Office Address
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City
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State
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Andhra Pradesh
Andaman and Nicobar
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadar and Nagar Haveli
Daman and Diu
Delhi
Lakshadweep
Puducherry
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
Pincode
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Office Email
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Personal Email
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Mobile
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Residence Phone
No. of School Participation Certificates
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No. of School Merit Certificates
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No. of District Participation Certificates
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No. of District Merit Certificates
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No. of State Participation Certificates
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No. of State Merit Certificates
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No. of National Participation Certificates
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No. of National Merit Certificates
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