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Name (Capital Letters) :

Gender :

Male

Female

DOB (As per the TC/Birth Certificate ) :

As per the TC/Birth Certificates :

Class :

Age as on June 1 :

Upload Photo :

Name of Father :

Occupation :

Address :

Mob :

Pin Code :

Email :

Name of Mother :

Occupation :

Address :

Mob :

Pin Code :

Email :

Name of local guardian incase the Pupil does not live with his/her responsible Parents :

Relation of the Guardian to the Pupil :

Guardian(Mob) :

Religion :

Caste :

Whether belongs to SC/ST/OBC :

Name and place of the School previously attended with tel no. :

Whether the School is recognised/affliated :

Yes No

Whether brother/sister of the student are studying in this school. If yes, give details :

Yes No

Standard to which admission is sought :

Whether School transport is required (If YES, please fill up and submit a separate transport form) :

Yes No