ADMISSION FORM

Student Information

First Name : Middle Name : Last Name/Surname : Date of Birth : Place of Birth : Gender : Male Female Enquiry Source : Online SMS Religion: Caste: Nationality: Aadhar No:

Admission Information

Academic Year2024-2025 Board SSC STD. Nursery Junior Senior I II III IV V VI VII VIII IX X

Address For Communication

Flat No./Building : Street/Post Office : Area/Taluka : Country : State: City : Pin Code : Tel No : Mobile No : Email ID :

Emergency Contact

First Name : Middle Name : Last Name/Surname : Relationship : Mobile No. :

Health Information

Please provide any information concerning the Applicant's health, which the school know about :

Blood Group A B AB O Height : Weight : Regular Medication : Regular Medication with dosage : Any Imapairment : Exemption from Activities :

Parent Information

	Father	Mother
First Name:
Qualification:
Designation:
Company Name:
Date of Birth:
Mother Tongue:

Communication Address
	Father	Mother
Flat No./Building :
Street/Post Office :
Area/Taluka :
Country :
State:
City :
Pin Code :
Tel No(Resi.) :
Tel No(Office) :
Mobile No :
Email ID :

Past Academic Information

Name of the last school attended	Location	Class Completed	Year Attended	Language of Instruction	Board