Admission Application Form

Hostel Facility Required (Std:5th to 10th)
Date of Application
Gender*

Respected Sir/Madam,

I Would like to enrollmy son/daughter in class of your school. Following are required details of my child and our family. I have read norms and regulations. I agree with those. The details in the form are correct. If any details are found false. I will be responsible for the same.



Information of Student


Surname*:
Student's Name*:
Father's Name* :
Mother's Name*:
Date of Birth*:
Age on 31st May*:
Place of Birth*:
Nationality :
Mother Tongue :
Religion :
Cast (with sub cast) :
Category:
Allergy or disease (Please specify in any) :
Permanent Address:
Taluka:
Dist:
Pin Code:
Address for Correspondence:

Information of the School attended last if applicable


Name of the School:
Address of the School:
Standard Attended last:
Divison :
Lc No with Date :
Reason for Leaving School :

Guardian / Father's Information


Name:
Qualification:
Profession:
Office Address:
Email:
Contact: (1)
Annual Income:
(2)

Guardian / Mother's Information


Name:
Qualification:
Profession:
Office Address:
Email:
Contact: (1)
Annual Income:
(2)