ZIGNITE ACADEMY

RUN BY AL MUJAMMAUL ISLAMI

KASARAGOD, KERALA

ADMISSION FORM +1
Name with Initials MARYAM FAYIZA M T P
Sex FEMALE
Nationality & State INDIAN, KERALA
Religion & Community ISLAM, MUSLIM
Date of Birth 2009-07-04
Aadhar No  
Full Postal Address of Parent / Guardian K T HOUSE, PUNCHAKKAD, PAYYANUR.PO, 670307
Office  
Residence  
Mobile No 9895160215
Name of the Institution Last Studied  
Syllabus (Tick whichever is applicable) KERALA BOARD
Percentage of Marks Obtained  
FOR OFFICE USE


Admission No: Class to which admitted:
Date of Admission: Fee paid Rs:
PRINCIPAL