Budhanilkantha School 10th batch form

Please fill out   whatever you feel like filling out.
 

      FIRST NAME :     MI :

       LAST NAME :     DATE OF BIRTH :

      HOME EMAIL :

    OFFICE EMAIL :

  HOME TELEPHONE :

OFFICE TELEPHONE :         FAX :

    PAGER NUMBER :

CELLPHONE NUMBER :

ADDRESS

   STREET:

    CITY :

ZIP CODE :

STATE :             COUNTRY :

MARRIED ?    Yes        No

CHILDREN ?   Yes        No                         IF 'YES' HOW MANY ?  

     NICKNAME ?

PERSONAL SITE :

BUSINESS SITE :

Please type in any additional message whether its some additional information about you that you want included at the site or its some suggestion to better the site.

           

 

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