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Muthookas E-Cube Learning System
APPLICATION FORM
Name of the students
*
Class
+2 STATE
+2 CBSE
+1 STATE
+1 CBSE
10TH STATE
10TH CBSE
9TH STATE
9TH CBSE
IIT ENTRANCE
Gender
MALE
FEMALE
Name of Father and Occupation
*
Name of Mother and Occupation
*
Home Address
*
Father's contact number
*
Mother's contact number
*
Whats app number
*
Name of school
*
Student Mail Id
*
Grades in last board exam (Not needed for 10th standard students)
(A). PHYSICS ( Enter science grade for CBSE )
(B). CHEMISTRY ( Enter science grade for CBSE )
(C). MATHEMATICS
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