Application for Admission

Application No

Date of Application

Full Name

Date of Birth (Figures)

Date of Birth (Words)

Age (Years)

Age (Months)

Birth Certificate No.

Place of Birth Certificate

Aadhaar No.

Religion

Caste

Belongs to Reserved Category

Nationality

Father's Name

Father's Occupation

Father's Qualification

Father's Phone No.

Mother's Name

Mother's Occupation

Mother's Qualification

Mother's Phone No.

Residential Address

Last School Name

Last Class

Subjects Offered

Medium of Instruction

Last Exam Result

School Status (Central/Recognized)

Class Sought

Transfer Cert. No. & Date

Mother Tongue

Home Town

Local Guardian Details

Reference

Transfer Certificate Attached