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    Ioqm 2024

    Uploaded by

    Barnali Pal

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Ioqm 2024

    Uploaded by

    Barnali Pal
    43 views1 page

    Original Title

    IOQM 2024

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    43 views1 page

    Ioqm 2024

    Uploaded by

    Barnali Pal

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    IOQM 2024

    MTA (I) STUDENT REGISTRATION FORM


    MATHEMATICS TEACHERS' ASSOCIATION
    Students born between August 1, 2005 and July 31, 2012, and studying in class 8, 9, 10, 11 or 12, are eligible
    to write IOQM 2024. Please note that no student born after August 1, 2012 will be allowed to write IOQM 2024.

    PERSONAL DETAILS

    NAME OF THE STUDENT


    (As per the School Records) : : FIRST NAME MIDDLE NAME LAST NAME

    DATE OF BIRTH : D D M M Y Y Y Y

    GENDER : MALE /FEMALE CLASS/STANDARD :


    : (Male/Female)
    (Male/ Female)
    SCHOOL DETAILS

    SCHOOL TYPE : KV JNV OTHERS

    SCHOOL NAME : _____________________________________ __________________

    SCHOOL ADDRESS : ________________________ ________ _____________ ________

    CITY :_______________________ DISTRICT : _____________________

    STATE :_______________ ________ PINCODE : _____________________

    ADDRESS DETAILS

    RESIDENT ADDRESS : __________________________________ ___________________

    PIN CODE : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ STATE : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

    DISTRICT : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ CITY : _________________________


    PINCODE
    MOBILE NUMBER : ____________________ EMAIL ID. : _ _ _ _ _____________________

    Please Tick your preferred IOQM – 2024 Language.

    ENGLISH HINDI
    Declaration:- I understand that if I have furnished any false/incorrect information, this will lead to my disqualification from the
    Olympiad programme at any stage.
    DATE :

    PLACE : (Signature of the Student)

    ACKNOWLEDGEMENT (To be handed over to the Student)

    Applied for IOQM-2024 (English/Hindi) Amount Received: ______

    Centre Registration Code: __________ Institution Seal (Signature of Centre In-charge)


    Note:-
    1. Student should compulsorily provide passport size Photograph, School ID and Birth certificate.
    2. Confirm your registration status through “Student Login/Search” within seven working days after submission or
    else check with the respective Institution.

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