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.* :
Father's Email Id* :
Mother's Email Id* :
Upload Father's Photo* :
Upload Mother'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
Amount to be paid 500/-* :
Upload UPI Receipt* :
Date* :
We certify that the above information are true and correct to the best of our knowledge and belief.
