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The Modern Academy Matric Higher
Secondary School
N, Pudupatti, Trichy Road, Namakkal - 637 020.
Mobile: +91 - 83449 99934, 83449 99935, 96779 93312
Phone: 04286 - 222 579
Email: modernacademynkl@gmail.com
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Online Admission Registration Form
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Form No. :
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Date :
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Academic Year :
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Student Name :
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Gender :
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DOB :
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Parent / Guardian Name :
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Admission into which class :
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Last studied class :
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Last studied school :
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Mobile Number :
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+91 -
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Address for Communication :
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Important Note: Documents
required for admission, transfer and birth certificate
© 2019 The Modern Academy Matric Higher Secondary School. All Rights Reserved.
www.themodernacademy.net
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