Application Form For Admission

Full Name of Pupil *

Class for Admission * :

Gender * :

Wheather Only one child * :

Date of Birth * :

Age as on 1st April * :

Nationality * :

Religion * :

Adhaar No. * :

Student's Bank A/c No. :

Name of the Bank :

IFSC Code :

Blood Group * :

Upload Photo* :

DETAIL INFORMATION OF PARENTS

Father's Name * :

Mother's Name * :

Father's Qualification * :

Mother's Qualification * :

Father's Occupation :

Mother's Occupation :

Father's Office Address :

Mother's Office Address :

Father's Designation :

Mother's Designation :

Father's Annual Income :

Mother's Annual Income :

Father's Permanent Address :

Mother's Permanent Address :

Father's Present Address :

Mother's Present Address :

Father's Mobile No.* :

Mother's Mobile No.* :

Father's Adhaar No.* :

Mother's Adhaar No.* :

Upload Father's Photo* :

DETAIL INFORMATION OF LOCAL GUARDIAN

Name :

Mobile No :

Email Id :

Address :

Occupation :

Relation With Pupil :

OTHER DETAILS

Name of the School last Attended * :

Classes in which he/she was studying *:

Result of the Last Examination :

% of Marks :

Roll No of Previous Exam *:

Year of Passing * :

No. & date of SLC/TC :

Mother Tongue :

Hobby :

Health Condition :

Category :

Physically Challenged :

Do you avail Hostel Facility :

Means of Transportation to the School :

Wheather a Staff Child :

Wheather only Child

APPLICATION FEE DETAILS
Money receipt of Rs.700/-

Receipt No.:

Date :