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(Affiliated to the Central Board of Secondary Education New Delhi) Kanakapura Main Road, Thalaghattapura, Bangalore 560 109. Phone: 08028427472/73 | Mobile : 96118 11266 Email: info@jnanasweekar.com www.jnanasweekar.com Affiliation No.: 830247Name of the student ___ Gender : MaleFemaleDate of Birth (in figures)Date of Birth (in words)___ Place of Birth ___Nationality___ Religion ___ Caste ___Please Tick SCSTMother Tongue ___Blood Group ___Age as on 1st June 2020 ___years ___months Name

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