Re-Admission Form - Chaitanya Bharathi Integrated Academy

**Admission open for NEET Repeaters programme (2025 - 2026) **For Details Contact: +91 70990 94555 / +91 97779 99234

**ADMISSION OPEN For Class 11 - Science (2025-26) **For Details Contact: +91 70990 94555 / +91 97779 99234

CLASS 12 (RE-ADMISSION FORM)

Candidate Details:-

Candidate Name

Gender

Male Female

Caste

DOB

Religion

Phone No

E-Mail ID

Aadhaar No

PEN Id

Apaar Id

Current Address:-

District

State

Recent Photo of Candidate

Father Details:-

Name

Phone/Whatsapp No

E-Mail ID

Occupation

Annual Income

Recent Photo of Father

Mother Details:-

Name

Phone/Whatsapp No

E-Mail ID

Occupation

Annual Income

Recent Photo of Mother

Guardian Details:-

Name 1

Phone No 1

Name 2

Phone No 2

Relation With Candidate

Recent Photo of Guardian 1

Recent Photo of Guardian 2

At Chaitanya Bharathi we foster a learning environment that promotes responsible, principled behaviour which respects the dignity of all the members of the community.

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