NAVODAYA VIDYALAYA SAMITI JAWAHAR NAVODAYA VIDYALAYA SELECTION TEST LATERAL ENTRY-CLASS IX APPLICATION FORM REGISTRATION NO.

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1 REGISTRATION NO.: Name of the SUMIT DEY Mother's Name KALYANI DEY Father's Name PARTHA KUMAR DEY Name of the KALYANI DEY Relationship with MOTHER INDIAN Date of Birth 26-Dec-2003 Present Postal Address VILL-SIMURALI TEMATHA,P.O-SIMURALI,P.S-CHAKDAHA,DIST-NADIA : Telephone - Mobile No Gender MALE Category OBC Marital Status UNMARRIED Identification Mark A MOLE ON FACE KALYANI UNIVERSITY EXPERMINTAL HIGH SCHOOL RURAL KALYANI KALYANI,NADIA, Jan Nov-2017

2 NAVODAYA VIDYALAYA SAMITI REGISTRATION NO.: State Name of the Mother's Name Name of the WEST BENGAL BIJOY SARKAR CHITRALI SARKAR BIPLAB SARKAR Present Postal Address Telephone Gender Marital Status Disablility, if any INDIAN District NADIA Father's Name Relationship with Date of Birth BIPLAB SARKAR FATHER 08-Jul-2003 ACHARYAPARA LANE MALANCHAPARA NABADWDIP,NADIA : Mobile No MALE Category SC UNMARRIED Identification Mark DARK SKIN AND TALL HIGHT No NABADWDIP BAKUNTALA HIGH SCHOOL URBAN NABADWIP NABADWDIP 05-Jan Dec-2017 BENGALI

3 REGISTRATION NO.: Name of the DEBABRATA DAS Mother's Name RUPA DAS Father's Name PRASANTA DAS Name of the PRASANTA DAS Relationship with FATHER INDIAN Date of Birth 14-May-2003 Present Postal Address VILL-BAMANDANGA PO-SONADANGA PS-NAKASHIPARA DIST-NADIA : Telephone - Mobile No Gender MALE Category SC Marital Status UNMARRIED Identification Mark RIGHT HAND CUTMARK PURBA JAGADANANDAPUR SAHAPARA HIGH SCHOOL RURAL NAKASHIPARA BETHUADAHARI 14-Jan Dec-2017

4 REGISTRATION NO.: Name of the SUKANYA DEY CHOWDHURY Mother's Name SANGHAMITRA DEY CHOWDHURY Father's Name SUKHENDU DEY CHOWDHURY Name of the SUKHENDU DEY Relationship with FATHER CHOWDHURY INDIAN Date of Birth 26-Jun-2003 Present Postal Address 103 SIDDHANTAPARA, P.O.- RANAGHAT, P.S.- RANAGHAT, DIST.- NADIA : Telephone - Mobile No Gender FEMALE Category GENERAL Marital Status UNMARRIED Identification Mark A MOLE ON THE LEFT HAND JULIEN DAY SCHOOL URBAN KALYANI A BLOCK KALYANI 10-Apr Mar-2018

5 REGISTRATION NO.: Name of the ARINDAM BISWAS Mother's Name CHINA BISWAS Father's Name PRABIR BISWAS Name of the - Relationship with - INDIAN Date of Birth 05-Aug-2003 Present Postal Address PRATAP NAGAR, GOUR NAGAR, NABADWIP,NADIA : Telephone - Mobile No Gender MALE Category GENERAL Marital Status UNMARRIED Identification Mark A SPOT IN RIGHT HAND BHAKTIVEDANTA NATIONAL SCHOOL URBAN NABADWIP MAYAPUR MAYAPUR 16-Apr Mar-2018

6 REGISTRATION NO.: Name of the SUSMITA DEY Mother's Name MITHU DEY Father's Name LATE SAMBHU DEY Name of the MITHU DEY Relationship with MOTHER INDIAN Date of Birth 28-Mar-2005 Present Postal Address TAHERPUR J BLOCK 2 NO ROAD,NADIA : Telephone - Mobile No Gender FEMALE Category GENERAL Marital Status UNMARRIED Identification Mark A MOLE ON FACE TAHERPUR GIRLS HIGH SCHOOL RURAL H 16 TAHERPUR,NADIA 03-Jan Dec-2017 BENGALI

NAVODAYA VIDYALAYA SAMITI JAWAHAR NAVODAYA VIDYALAYA SELECTION TEST LATERAL ENTRY-CLASS IX APPLICATION FORM REGISTRATION NO.

NAVODAYA VIDYALAYA SAMITI JAWAHAR NAVODAYA VIDYALAYA SELECTION TEST LATERAL ENTRY-CLASS IX APPLICATION FORM REGISTRATION NO. REGISTRATION NO.: 35050037 Name of the SOHA MONDAL Mother's Name LATIFA MONDAL Father's Name BILLAL MONDAL Name of the - Relationship with - INDIAN Date of Birth 03-Oct-2004 Present Postal Address VILL-

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