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Student & Basic Details
Latest Passport Photo (Child) *
jpg/png, max 2MB
Passport Photo (Father)
Passport Photo (Mother)
Class for which admission is sought *
Registration Number
Name of the Child *
Gender
-- Select --
Male
Female
Other
Nationality
Date of Birth *
Aadhar Card No.
12 digits
Residential Address
Name of School Last Attended
E-mail Address *
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Father & Mother Details
Father's Details
Father's Name *
Aadhar Card No.
Phone Number *
10 digits
Educational Qualification
Occupation
Designation
Organisation Name
Organisation Address
Mother's Details
Mother's Name *
Aadhar Card No.
Phone Number *
Educational Qualification
Occupation
Designation
Organisation Name
Organisation Address
Single Parent (Father/Mother/NA)
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Sibling, Medical & Declaration
Sibling Information
Sibling Name
Class & Section
Medical Information
Special Need / Medical History
Select
Yes
No
If Yes, give details
Transfer From Another Place (Yes/No)
Is School Transport Required?
Select
Yes
No
SC/ST/OBC
Parent Declaration
I/We hereby certify that all information provided is correct.
Signature of Mother
Signature of Father
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