1. Seeking Admission To Class:

2. Name Of Student:

3. Date Of Birth:

4. Sex:
Male
Female

5. Age As on 31-05-2014:

b. D. O. B. in words:

6. Place Of Birth:

Village:

Taluk:

Town:

District:

State:

7. Nationality:

8. Mother Tongue:

Blood Group:

9. Religion:

Caste:

10. Whether Belonging To:(Please tick the respective box) :

b) Qualification:

c) Occupation

d) Office Address:

f) Email Id :

12. a) Name Of Mother :

b) Qualification:

c) Occupation

d) Office Address:

f) Email Id :

15. Details of your other children studying or Choose relatives child at school:

Name

Class and section:

Documents:
Birth Certificate
Transfer Certificate
Marks Card
Other Certificate
Photo Attachment