Student Outreach Profile Building Membership
Profile Building Membership Form
First Name
Last Name
Phone/Mobile
Email
Who am I?
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Student
Parent
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Other
School Name
School City
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West Bengal
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Himachal Pradesh
Karnataka
Kerala
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
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Uttar Pradesh
Uttarakhand
Year of Completing Class 12
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2026
2027
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2030
Checkbox Field
Modern Sc & Tech Club
Liberal Arts & Humanities Club
Community Service Club
Entrepreneurship Club
Creative Studio
Fitness & Wellbeing Club
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