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SHIKSHA


H O M E	MADHUR SANGEET	SAHITYA RATNAKAR	ITIHAS	SHIKSHA	BANGLA BHASHA	S A M A J

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SHIKSHA BIBHAG ENROLLMENT FORM

...PLEASE FILL UP THE FORM...

FIRST NAME

LAST NAME

ADDRESS LINE 1

ADDRESS LINE 2

ADDRESS LINE 3

TEL/MOBILE NO.

YOUR EMAIL ID

OCCUPATION :

QUALIFICATION:

PARTICIPATION:

Kindly state briefly why you would like to devote your precious time in pursuit of a subject
so vaguely defined and so varied and unpredictable in terms of results expected.

O B J E C T I V E S.

YOU WILL BE CONTACTED AFTER YOUR ANTECEDANTS ARE CHECKED.
WE HOPE THIS IS THE BEGINNING OF A LONG AND PLEASANT ASSOCIATION AND YOU WOULD PLAY A VITAL ROLE IN THE SHIKSHA PROGRAMMES.