Admission Form
1. Name of Pupil :
Permanent Address
(in capital letters):
2. Address for Communication:
3. Class to which admission is sought:
4. Sex:
Select Gender
Male
Female
5. (i)Community / Religion
(ii)Category:
Select your category
ST
SC
OBC
Others
(iii)Nationality:
Mother Tongue:
6. Date of Birth:
7. Father's Name:
Qualification:
Phone:
Mob:
Email:
Office Address:
8. Mother's Name:
Qualification:
Phone:
Mob:
Email:
Office Address:
9. Name of Guardian / Local Guardian:
Qualification:
Phone:
Mob:
Email:
Office Address:
10. Whether school transport is required:
Select Option
Yes
No
if yes, state boarding point:
11. HEALTH RECORD | Blood group of the pupil:
Whether immunised against Hepatitis-B, BCG, DPT, OPV/MMR:
12. Name and class of brother / sister studying in the school, if any:
13. Name and address of a reputed person of the locality for reference:
Recent passport size photo (Max. of 2 MB)
Declaration
I hereby declare that all the particulars furnished above are true to the best of my knowledge and belief and if at any time, the particulars are found incorrect the admission may be rejected outright and action may be initiated against me. I also declare that the date of birth furnished is correct and I have read all the rules and regulations governing admission and fee payable on scheduled dates and agree to abide by the same.
Submit
Admission Form