Name

Class to which admission is sought
Select Class 6th 7th 8th 9th 10th

Adhaar Card No.

Current School Name

Current School Address

Attach Passport Size Photo

(Max. Size : 200px X 200px)

Permanent Address

Address for Correspondence (if other than above

Father's Name

Father's Mobile No. :

Father's Primary Occupation :

Father's PAN/Aadhaar Number

Mother's Name

Mother's Mobile No. :

Mother's Primary Occupation :

Mother's PAN/Aadhaar Number

Average Monthly Income of the Family 10k-20k 20k-40k 40k-60k 60k-80k 80k or Above

Languages spoken at home Hindi English

Transport facility needed
Yes
No
If yes, please mention nearest stop on National Highway or State

Hostel Facility Required
Yes
No