Date of Issue
Registration No.
Name of the Child
Gender
Date of Birth
Age as on 03-05-2024
* Photo
Father
Mother
Name *
Age
Educational Qualification (Please mention Institution & School Attended)
School
College
Occupation
Organization Where you work
Contact No. *
E-mail Address *
Current Address *
Permanent Address *
Distance from current address to school.
- Select - Within 3 KM Within 5 KM Above 5 KM
* Attach copy of Address Proof
Siblings
Yes
No
Name
Class & Section
Admisson No.
(*Attach copy of I-Card or fee Receipt of sibling)
Are you a single parent
(*Attach supporting document)
Is any of the Parent is Alumni of this School ?
Father Name
Year of Passing
Mother Name
(*Attach SLC / Marksheet of XII Class)
Is the child in Single girl child
(*Attach supporting document)Give undertaking also
