Admn.No :

First Name :

Gender :

Date of Birth :

Nationality :

Religion :

Community :

Mother Tongue :

Mother(Name/Qualification/Designation) :

Guardian(Name/Qualification/Designation) :

Mobile :

Email Id :

Office Address :

Office Phone number :

Office Email :

Name and address of the previous school :

Annual Income :

Admission To Class :

Student's EMIS No :

Aadhar No :

Mode of Conveyance :

School Transport

Own arrangement

Documents Attached :

Birth Certificate

Transfer Certificate

Community Certificate

Profile picture of the candidate:

I hereby certify that the above said particulars are correct . I have read the prospectus of the school and shall abide the rules and regulations