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ADMISSION FORM To The Director P. B. Educational Academy s DEFENCE SERVICES PREPARATORY INSTITUTE DSPI Aurangabad Affix your Recent Passport size photograph here 3x4 cm FOUNDATION COURSE FOR SPI/DSPI ENTRANCE EXAM 26TH MARCH TO 30TH APRIL 2016 Respected Sir I want to take Admission in P. B. Educational Academy s DSPI for Foundation course. I have read the Terms conditions of the Academy mentioned in the prospectus / overleaf* I agree to abide by the same. Please fill the form in capital letters Name of the student. Surname Date of Birth Name Fathers Name Place of Birth. State. DD MM YYYY Blood Group. Category - Gen/SC/ST/VJ/NT/OBC/PH Caste. Parent s Occupation Postal Address Date. Place. Signature of Father / Guardian ------------------------------------------------------------------ Tear Here ---------------------------------------------------------------------. B. Educational Academy s DSPI for Foundation course. I have read the Terms conditions of the Academy mentioned in the prospectus / overleaf* I agree to abide by the same. Please fill the form in capital letters Name of the student. Surname Date of Birth Name Fathers Name Place of Birth. Please fill the form in capital letters Name of the student. Surname Date of Birth Name Fathers Name Place of Birth. State. DD MM YYYY Blood Group. Category - Gen/SC/ST/VJ/NT/OBC/PH Caste. Parent s Occupation Postal Address Date. State. DD MM YYYY Blood Group. Category - Gen/SC/ST/VJ/NT/OBC/PH Caste. Parent s Occupation Postal Address Date. Place. Signature of Father / Guardian ------------------------------------------------------------------ Tear Here ---------------------------------------------------------------------. B. Educational Academy s DSPI for Foundation course. I have read the Terms conditions of the Academy mentioned in the prospectus / overleaf* I agree to abide by the same. Please fill the form in capital letters Name of the student. Surname Date of Birth Name Fathers Name Place of Birth. State. DD MM YYYY Blood Group. Category - Gen/SC/ST/VJ/NT/OBC/PH Caste. Parent s Occupation Postal Address Date. Please fill the form in capital letters Name of the student. Surname Date of Birth Name Fathers Name Place of Birth. State. DD MM YYYY Blood Group. Category - Gen/SC/ST/VJ/NT/OBC/PH Caste. Parent s Occupation Postal Address Date. Place. Signature of Father / Guardian ------------------------------------------------------------------ Tear Here ---------------------------------------------------------------------.

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