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Candidate Name
Date of Birth
Name of School
Father's Name
Father's Profession
Mother's Name
Mother's Occupassion
Pin Code
Father's Mobile No.
Mother's Mobile No.
Contact No. (Res/Office)
Email Address

Student Interest Level
(Kindly choose the closest matching description for the student)

Mathematical Performance (The Ability to solve numbers easily, quickly and accurately. Also the natural inclination to do Math as a priority or choice over other subjects)

Concentration Level (The Ability to Focus on an activity or while studying for a considerable time span. Also the ability to listen to instructions and comply with the same)

Creativity (The ability to come up with unique ideas, novel thoughts for doing a task. Also the ability to visualize things in mind and be able to express / work based on those visualizations as in Drawing, painting)

Memory Level (The ability to remember things and recall them when required for example during exams)

Centre Name
Your Expectation from this course for your Ward
Upload Passport Size Photo of your Ward