Online Admission Form

Please fill the following form

Academic Year*
Student Details
Student Name*
Email
Date of birth:*
Single girl child?
Specially abled(Divyangjan)?
Belonging to EWS?
Name & Address of last attended school
Aadhar Number :
Choose Student Image (Photo with date):
Username
Caste Category :
Choose Image(Aadhar):
Gender
Class :*
Admission Date:
Blood group :
Nationality :*
Class Last Attended :
Last school affiliated is :
Specify if others:
TC No :
TC Issue date :
Religion :
Caste :
Annual Income :
Permanent Address*
Address Line 1
Address Line 2:
Country
State
City
ZIP Code
Location
Current Address*
Address Line 1
Address Line 2
Country
State
City
ZIP Code
Location

Note : Please make sure to set local guardian as father,mother or other.

Parent Details
Name
Date of birth
Occupation
Phone No
Email
Qualification
Name
Date of birth
Occupation
Phone No
Email
Qualification
Parent role
Father Mother Others
Name
Date of birth
Occupation
Phone No
Email
Qualification
Permanent Address*
Address Line 1
Address Line 2
Country
State
City
ZIP Code
Current Address*
Address Line 1
Address Line 2
Country
State
City
ZIP Code
Bus service Required
Yes No
Pickup location
Destination

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