GENIUS KERALA 50
Application Form
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Name of Candidate (IN BLOCK)
Father’s Name (IN BLOCK LETTERS)
Mother’s Name (IN BLOCK LETTER)
Name of the guardian and relationship, if any
Date of Birth
Reference: (Who introduced you)
Gender
Male
Female
Other
Parmanent Address
Mobile No
E-Mail
Category
-Select Community-
GEN
OBC
SC
ST
Aplying for
Class
Name Of the Branch
-Select Class-
3rd
4th
5th
6th
7th
8th
-Select Branch-
MOHAMMADABAD
REGHUBAR GANJ
MAHUWI
REOTIPUR
SAIDPUR
Previous
Class
Name Of the School
Palce Of The School
Year Of Passing
I attest that the information provided above is correct and voluntary. I am aware of the rules and policies of the GENIUS KERALA 50. My ward's candidature may be withdrawn at any time, including after admission, if any of the submitted information is determined to be inaccurate.
I agree to follow the policies and rules of GENIUS KERALA 50 and KERALA MODEL EDUCATION AND PUBLIC SCHOOL SYSTEM.
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