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ONLINE ROVER'S ADMISSION
Vivekananda Scout Group
Bharat Scouts & Guides
Eastern Railway, Liluah District
Website: - http://vsgliluah.webs.com
Rover's Name
*
First
Last
Date of birth
*
DD
/
MM
/
YYYY
Guardian's Name
*
First
Last
Relationship with Rover
*
* * Select Status * *
Father
Mother
Brother
Sister
Other
Guardian's Designation
Railway Unit
Dept./Shop
Designation
Ticket No.
Only for Railway Employee.
Mobile Number
*
Enter Your 10 Digits Mobile Number.
Email Address
(If available)
Residential Address
*
Street Address
City
State / Province / Region
Postal / Zip Code
Educational Status
*
* * Select Status * *
Class - VIII
Class - IX
Class - X
Class - XI
Class - XII
Graduate
Post Graduate
Railway / Non-Railway
*
Railway
Non-Railway
Railway Status
* * Select Status * *
Ward of Railway Employee (Below 21 Years)
Ward of Ex-Railway Employee(Below 21 Years)
Ward of Railway Employee (Above 21 Years)
Ward of Ex-Railway Employee (Above 21 Years)
For Railway Candidate Only.
Upload Photograph
*
Upload Your Photograph. (Under 25 - 256 Kb)
Upload Signature
*
Upload Your Signature. (Under 25 - 256 Kb)
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