Application Form

Admission sought for standard*

Application Year*

Name of the pupil(In Full)*

Gender*
—Please choose an option—MaleFemale

Date of Birth*

Nationality and state(to which pupil belongs)*

Religion*

Student Photo*

Caste*
—Please choose an option—GeneralBCMBCSCSTBCM

Mother Tongue*

Whether living with parent or guardian*

#	Father	Mother
Name of Parent*
Education Qualification*
Occupation*
Work Address*
Aadhar Card No*
PanCard No*
Contact Nos(Work)*
Mobile no*
Email ID*

Residence Address*

Landline Number*

If Living with Guardian
Name of Guardian*

Occupation*

Address*

STUDENT
EMIS NUMBER
Aadhar Card No

Previous school details
Name of school*

Class attended/completed*

Promotion status*
—Please choose an option—QualifiedDisqualified

Annual Income of Family*

Class into which admission sought*