Ashok Van, Shiv Vallabh Road, Dahisar East, Mumbai - 400 068. Ph: +91 22 2897 7568, 80 800 0344 1 / 2 Email: [email protected] Web: dahisar.universalhigh.edu.in Application No. Parent/Guardian Details: Name: Relationship with the Student: Mobile No.: Email ID: Year of Joining the School: Year of achievement: Applying for - Academic Year: Grade: Curriculum: Student Details: Name: Date of Birth: Gender: Nationality: Aadhaar No.: Passport No.: (If not Indian) Res. Address: PIN Code: Telephone No.: Mobile No.: FIRST NAME MIDDLE NAME LAST NAME FIRST NAME MIDDLE NAME LAST NAME Student’s Recent Passport Size Photograph (3.5 x 4.5 cm) Turn over leaf Academic - ISC Application for Scholarship Category : Supporting Document: ISC - Class XI : : Class X, Board Mark Sheet Class XII, Statement of Marks ISC - Class XII (Mandatory)
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