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office of the education officer zone-ix distt. north west - Directorate of ...

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Email Address<br />

(b) Mo<strong>the</strong>r’s Name<br />

Pr<strong>of</strong>ession<br />

-2-<br />

Is <strong>the</strong> job transferable? Yes No (Tick whichever is applicable)<br />

Designation (if applicable)<br />

Office Address, if any<br />

Residential Address<br />

Tel.No.[Residence]<br />

Off.Tel. No.<br />

Mobile No.<br />

Email Address<br />

5. (a) Is <strong>the</strong> School Transportation required ?<br />

applicable)<br />

Yes No (Tick whichever is<br />

(b) If no, are you in a position to provide safe transportation to <strong>the</strong> student to and from<br />

<strong>the</strong> school?<br />

applicable)<br />

(Tick whichever is<br />

6. Does <strong>the</strong> child have some special needs ? Yes No (Tick whichever is<br />

applicable)<br />

If Yes, give details<br />

7. Is <strong>the</strong> admission being sought under <strong>the</strong> seats reserved for economically weaker section<br />

<strong>of</strong> society?<br />

applicable)<br />

Yes No<br />

Yes No<br />

If yes, please give total annual income <strong>of</strong> both parents (in figures)<br />

(Tick whichever is

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