Admission Form
(For admission to class V-IX)

Application for admission to *

Select Class V VI VII VIII IX

PERSONAL DETAILS

1. Student's Name *

2. Date of Birth *

3. Gender *

Male    Female    Other

4. Caste *

GEN  SC  ST  OBC-A  OBC-B

a. Sub-Caste

b. Caste Certificate No

c. Issue Date

d. Issuing Authority District

e. Issuing Authority Sub-Division

5. Religion *

Hindu    Islam    Other

6. Blood Group

7. Identification Mark

8. Aadhaar Status *

Available    Not-Available    Applied

a. Aadhaar Card Number

9. BPL Category *

Yes    No

If yes, BPL Card No

10. Wheather physically handicaped? *

Yes    No

a. Type of Disability

b. Disability Certificate No

c. Issue Date

CONTACT DETAILS

11. House No/Village/Para/Road *

12. Post Office *

13. Police Station *

14. Block/Municipality *

15. District *

16. PIN Code *

17. Mobile No *

18. Alt Mobile No

19. Email Address

PARENT DETAILS

20. Father's Name *

a. Education

b. Occupation *

c. Aadhaar No

21. Mother's Name *

a. Education

b. Occupation

c. Aadhaar No

22. Guardian's Name *

a. Occupation *

b. Relation *

c. Aadhaar No

23. Annual Family Income *

PREVIOUS SCHOOL DETAILS

24. Previous School Name *

25. Last Class Attendant *

IV  V  VI  VII  VIII  IX

26. School Leaving Certificate No

Issue Date

BANK ACCOUNT DETAILS

27. Bank Name

28. Account No

29. Branch

30. IFS Code