Personal

Student Personal Information (Part 1)

First Name *

Middle Name

Last Name *

Gender * Select.. Male Female

Family Id

Child/Samagra Id

Aadhar Id

Date of Birth *

Place of Birth *

State of Birth *

Nationality *

Class to Admit * Select ClassCLASS-PLAYCLASS-NURSERYCLASS-KG-1CLASS-KG-2CLASS-1CLASS-2CLASS-3CLASS-4CLASS-5CLASS-6CLASS-7CLASS-8CLASS-9

Medium Select.. Hindi English

Faculty For 11th-12th.. Maths Science Commerce Arts

Admission Type* Select.. General RTE Quota BPL Quota

Scholarship NO Minority Based Category Based Other

Health+...

Student Personal Information (Part 2)

Blood Group Select.. A+ A- B+ B- O+ O- AB+ AB-

Height(cm)

Weight(kg)

Health Healthy Un Healthy Severe Illness Critical

Disability Type NO In Seeing In Hearing In Speech In Moving Mental Illness Other

Disability

Caste *

Category * Select.. General OBC SC ST

Religion * Select.. Hinduism Muslims Buddhism Sikhism Jainism Christanity Parsis

Bank Name

Account Number

IFSC Code

Parents

Parents : Father's Details

First Name *

Middle Name

Last Name *

Mobile Number *

 

Email Address

Land Line Number

Bank Name

Account Number

Qualifications

Occupation

Designation

Department

Office Address

Annual Income

Parents : Mother's Details

First Name *

Middle Name

Last Name *

Mobile Number

 

Email Address

Land Line Number

Bank Name

Account Number

Qualifications

Occupation

Designation

Department

Office Address

Annual Income

Address

Present Address

Address Line1*

Address Line2*

City*

District*

State*

Country*

Postal Code

Permanent Address is same as Present Address

Permanent Address

Address Line1*

Address Line2*

City*

District*

State*

Country*

Postal Code

Last Class

Previous School/Class Details

Class Select.. Play Group Nursery KG-1 KG-2 Class 1st Class 2nd Class 3rd Class 4th Class 5th Class 6th Class 7th Class 8th Class 9th Class 10th Class 11th Class 12th

Medium Select.. Hindi English

Board

Result Select.. Pass Fail

Percentage

Grade Select.. A B C D E

School Name

Address

City

District

State

Country

Postal

Guardian

Guardian's Details

Relation Select.. Uncle Aunty Brother Sister Neighbour Other

First Name

Middle Name

Last Name

Gender Select.. Male Female

Contact Number

Land Line Number

Email Address

Qualifications

Occupation

Designation

Department

Office Address

Address Line 1

Address Line 2

City

District

State

Country

Postal Code

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Photograph

Birth Certificate

Caste Certificate

Income Certificate

Last Year Mark List

Child Id Doc

Passbook Copy