Ld. Bentinck School
Unit of DMCWS
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Student Name
*
First
Last
Student's name must be Mach Adhere.
Age
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Father Name
*
First
Last
Phone Number
*
# Admitted Class
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Medical fit?
*
Yes
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Father's Occupation Details
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Phone Number
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Father age?
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26-35
36-50
Over 50
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What is your household income?
*
Less than 10,000
10,001-25,000
25,001-40,000
70,001-100,000
100,000
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Ld. Bentinck School