Admission Form

Name of the Applicant:

Father’s Name:

Mother’s Name :

Date of Birth:

Gender:
BoyGirl

Nationality:

Religion:

Category:

Adhar Card Number of the Applicant :

Tel/Mobile No. :

Email Id:

Application Date:

Permanent Address:


(please fill whole address with postal code)

Local Address:


(please fill whole address with postal code)

Last Institution Studied:

Qualifying Examination:

Co Curricular Activities:
MusicDanceArtCraftKarateSwimmingany other

Willing to Opt For:
1. Hostel2. Day Scholar
2. Day Scholar, Bus Facility/Midday Meals

Seeking Admission for:

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