Image (JPG/PNG) size should not be more than 1MB (1024KB).


Image (JPG/PNG) size 1MB Max.

S T U D E N T

1. Student's Name
(As it appears in Birth Certificate)*
2. Date of Birth (dd-mm-yyyy)*
3. Age (As on 31st March 2020)*
4. Place Of Birth* 5. Gender*
6. Admission requested for * 7. Name of Examination/Board*
8. School Last Attended* 9. Class Last Attended*
10. T.C No. (If Any) 11. Blood Group*
12. Religion* 13. Denomination (If Christians)
14. Mother Tongue* 15. Nationality*
16. Category* 17. Tribe Name (If S.T.)
18. Aadhaar Card No. 19. Bank Account No.
20. Bank Name 21. Bank IFSC

F A T H E R

1. Name
(As it appears in Identity Proof)*
2. School attended (name)* Where*
3. College attended (name)* Where*
4. Educational Qualification* 5. Occupation*
6. Designation*
Please put 'NA' if not applicable
7. Department*
Please put 'NA' if not applicable
8. Name of Establishment/Institution/Company*
Please put 'NA' if not applicable
9. Aadhaar Card No.

M O T H E R

1. Name
(As it appears in Identity Proof)*
2. School attended (name)* Where*
3. College attended (name)* Where*
4. Educational Qualification* 5. Occupation*
6. Designation*
Please put 'NA' if not applicable
7. Department*
Please put 'NA' if not applicable
8. Name of Establishment/Institution/Company*
Please put 'NA' if not applicable
9. Aadhaar Card No.

C O N T A C T

Present Address

1. Line 1 (House / Plot No. etc.)*
2. Line 2 (Street / Colony/ Area / PO)
3. City * 4. Pin*
5. State* 6. Country*

Permanent Address (If different from present address) Copy

1. Line 1 (House / Plot No. etc.)
2. Line 2 (Street / Colony/ Area / PO)
3. City 4. Pin
5. State 6. Country

Phone Number And Email Address :

1. Phone (Res) 2. Phone (Off)
3. Mobile *(1)
(For SMS Alert)
4. Mobile (2)
5. Email Id *(1) 6. Email Id (2)

Other Children of Applicant's Parents (If any)

Sl.No. Name of Siblings School (If applicable) Class (If applicable)
1.
2.
3.
Upload Previous class Marksheet(file must be less than 100kb! with JPEG,PNG,JPG,PDF)*
Payment Mode

DOCUMENTS TO BE PRODUCED AT THE TIME OF ADMISSION:

VERY IMPORTANT:

DECLARATION:

 I Agree.