First Name:

Middle Name

Last Name

Date of Birth:

Place of Birth:

Blood Group:
O +veO -veA +veA -veB +veB -veAB +veAB -veOther

Gender:
MaleFemaleOther

Caste:

Mother Tongue:

Students Aadhar Number:

Any Physical Deformity:
YesNo (If Yes, Attach Report)

Previous School Attended and Std:
(Type NA if not applicable)

Admission sought in which standard:
Jr. KGSr. KG1st Std2nd Std3rd Std4th Std5th Std6th Std7th Std8th Std9th Std

Residential Address:

Taluka:

District:

State:

Pin Code:

Emergency Contact Number 1:

Emergency Contact Number 2:

Last Name:

First Name:

Middle Name:

Father's Qualification:

Father's Aadhar Number:

Father's Email Address:

Father's Contact Number 1:

Father's Contact Number 2:

Last Name:

First Name:

Middle Name:

Mother's Qualification:

Mother's Aadhar Number:

Mother's Email Address:

Mother's Contact Number 1:

Mother's Contact Number 2:

Past Medical History:

Is the Child Allergic to anything?

Any Habits of the child you would like to mention?

The Child's Food Habits:

Upload Birth Certificate*:
(*.pdf and not greater than 1MB)

Upload School Leaving Certificate:
(*.pdf and not greater than 1MB)

Upload Student's Aadhar Card*:
(*.pdf and not greater than 1MB)

Upload Parent's Aadhar Card*:
(*.pdf and not greater than 1MB)

Upload Parent's PAN Card*:
(*.pdf and not greater than 1MB)

Upload Caste Certificate(If Applicable):
(*.pdf and not greater than 1MB)