93373 10441

contact@orissavikash.com

01 Progress Report of Class-IX from the School duly signed by the Principal
02 Progress Report/Marksheet of Half Yearly/Preboard of Class-X from School
03 Two Passport Size Photographs
04 Photocopy of Class-X Admit Card (If it is available)

Name of the Student*

Board*

Date of Birth*

Age*

Gender*

Category*

Fathers Name*

Address of Correspondence*

Mobile No*

 

Email Address

Name of the School(in CL-X)*

District of the School*

Address of the school*

Stream Choice*

Career Ambition

Bargarh:93373410441/7064413441

Sambalpur:9777958311/8270772777

Bhubaneswar:6370700761/8270772444