Student Details

Name (as per birthcertificate) :*

LastName (as per birthcertificate):*

Parent Email: *

Class : *

Community :

Place of Birth :

Mother tongue :

Medium :

Student Photo

Date of Birth (as per birthcertificate) : *

Caste :

Blood Group :*

Religion :

Nationality : *

Adhar No. :

Adhar Document. :

Hobbies :

Gender: Male Female

Any other Languages :

Personal Marks of Identification :

Transport Facility: Yes / No *

Transport Option: *

Family Details

Father's Details

Father’s Name : *

E Mail : *

Occupation : *

Mobile : *

Phone :

Qualifications :

Organization :

Annual Income

No.Of Brothers

Sibling:

Select:

Class:

Sibling:

Select:

Class:

Sibling:

Select:

Class:

Sibling:

Select:

Class:

Sibling:

Select:

Class:

Mother's Details

Mother’s Name : *

E Mail : *

Occupation : *

Mobile : *

Phone :

Qualifications :

Organization :

Annual Income :

No.Of Sisters

Address

Residential Address : *

Permanent Address : *

Guardian’s Details

Guardian’s Name :

Qualifications :

Occupation :

Organization :

Phone :

Mobile :

E Mail :

Annual Income

Residential Address :

Permanent Address :

Additional information

Phisically Chalanged :
Yes No

SSSMId Number :

Family SSSMId Number :

Bank Account :

Bank Name :

Bank Acc Holder :

Bank IFSC No :

For office use only

Remarks

Documents Enclosed

Birth certificate (photo copy)
Three passport size photographs
Progress Report (photo copy)
Migration Certificate (original)

Past Schooling Record

Name of school last attended :

Class Passed :

Promotion:
Pass Fail

* All the fields are required and will be used to retrieve your admission form for future reference * If you have already filled the registration form then you will be presented with partially filled form * In the course of filling admission form, anytime if you feel to do it later then you can save that form and continue it later * Mandatory fields are marked. However please fill as much information as possible for smooth application processing. * At the end please check the iagree checkbox to be able to submit your application.

Reason for leaving :

Transfer documents attached :

Transfer/School Leaving
Marks Card
Character/Conduct Certificate

Admissions open for the year 2023-2024

Student Details

Family Details

Father's Details

Mother's Details

Address

Guardian’s Details

Additional information

Additional information

For office use only

Documents Enclosed

Past Schooling Record

Transfer documents attached :