HASHIMIA INTERNATIONAL ACADEMY
MALLICKPUR HAROA NORTH 24 PARGANAS 743425
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Admission Form
Student Details
Student Name *
Student Photo * Upload (50KB-100KB)
Gender *
Male
Female
Date Of Birth *
Parent Details
Father Name
Father Qualification
Father Ocupation
Mother Name
Mother Qualification
Mother Ocupation
Guardian Name
Relation with Guardian
Other Details
No Of Family Members *
No Of Earning Family Members *
Family Monthly Income *
Contact Details
Village
Post Office
Police Station
Block/ Municipality
District
City
Pin Code
State
--Please select--
Andhra Pradesh
Andaman and Nicobar Islands
Arunachal Pradesh
Assam
Bihar
Chhattisgarh
Chandigarh
Delhi
Dadra and Nagar Haveli
Daman and Diu
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu & Kashmir
Jharkhand
Karnataka
Kerala
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Punjab
Puducherry
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
Other Details
Communication Phone No *
Seeking Admission in Class *
--Please select--
V
VI
VII
VIII
IX
X
XI
XII
HIFZ
NEET
Current School *
Current Class *
Examination Center *
--Please select--
Hashimia International Academy
Swarupnagar Ochhiya Senior Madrasah
Barunhat High School (H.S)
Jaygram Shishu Bikash Academy
Ishwaripur Marjina Shiksha Niketan
Model Mustafa Academy
Jagadishpur S.S.K. School
Daspara Rural Mission School
Center Address *
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