Registration Form For : Session 2021-2022

Re Print

Academic details
Enquiry No : Visitor Type : * Visitor Date : * Call Type : *
Class : * Group :

Personal details
Max. 50 characters
Mother Tongue*
  Age :  
Category* Parallel Reservation
Place of Birth Is Disable
Disable Type Description Disability

Parent details
Father's Occupation Type* Father's Annual Income * Father's Mobile No.*
Mother's Occupation Type Mother's Annual Income Mother's Mobile

Other details
Name of the last School/College Attended : No of Examination Aadhar Card NO.
Marks Obtained at Last Examination Class No of Subjects Bank A/C No. Any Medals Scholarship Recieved By the Candidate During His/Her Previous Year Of Schooling
Total Percentage (%) Hobbies of the Candidate Any Physical Mental Problem with the Child
Yes No
Name of Relatives/Student Of This School I Desire to offer Following Subjects of Class Result Date If Brother/Sister Reading in this School,Specify Admission No. Name Class and Section*
First Contact Person in Station Other Than Parents* First Contact Person Contact No.* Relation With First Contact Person Second Contact Person in Station Other Than Parents
Second Contact Person Contact No. Relation With Second Contact Person If Bus Facility Required ? If Yes Submit a Separate Application Mentioning the stoppage
Yes No

Contact details
Student Mobile No. Mobile No For Sms* Whatsapp No. Student Email Local Address *
Pin Code State *  

Select Photo *   Upload Student Aadhar Card Photo Upload Student Birth Certificate Photo *  

Note : Upload passport size photo only upto 100 Kb.

Note : Please print a copy of the admission form and deposit it in the school, along with a copy of the Student photo, Aadhar card and Birth certificate.