ID No. ……..……          Registration cum Admission Form        F. No. …….……

(FILL ONLY CAPITALS LETTERS)

First Name : …………………………………………  Last Name : ……………………………………………………………

Contact No. 1 : …………………………………………………..   No. 2 : …………………………………………………….

Whatsapp No. 1 : ………………………………………………..   No. 2 : ………………………………………………….

Aadhar No. : …………………………………………………………………………  Blood Group : ……………………..

E-mail : ……………………………………………………………………………………….…… M/F :…………….  Caste : ………………………………

Religion : …………………………..…………  Category : ……………….……………………..  Date of Birth : …………………………………….

Guardian :  …………………………………………………………………………..  Contact No. : ………………………………………………………..

Relation : …………………………………………………………..  Occupation : ……………………………………………………………………………

                                    Local Address                                                                         Permanent Address

Address :  ………………………………………………………………………      ………………………………………………………………………………….

City :  ………………………………………………………………………      ……………………………………………………………………………………….

District :  ………………………………………………………………………      ………………………………………………………………………………….

State :  ………………………………………………………………………      …………………………………………………………………………………….

Pin code :  ……………………………………………………………………      ………………………………………………………………………………….

                                    Father Details                                                                         Mother Details

Name :  ………………………………………………………………………      ………………………………………………………………………………...….

Age  :  ………………………………………………………………………      …………………………………………………………………………………..…..

Contact :  ………………………………………………………………………      ………………………………………………………………………………...

Occupation :  …………………………………………………………………      ………………………………………………………………………………….

Designation :  …………………………………………………………………      ………………………………………………………………………………..

Organization : …………………………………………………………………      ……………………………………………………………………………….

Annual Income :  ……………………………………………………………      ……………………………………………………………………………..….

Aadhar No.  :  ………………………………………………………………………      ………………………………………………………………………..….

Education :  ………………………………………………………………………      ……………………………………………………………………………...

Institute Name :  …………………………………………………………………      …………………………………………………………………………….

Bank Details

Bank Name & Branch Address : ……………………………………………………………………………………………………………………………..

Account No. : …………………………………………………………………………. IFSC Code : …………………………………………………………

Previous School Information

Previous School Name : …………………………………………………………………………….…………………. Board : ………………………….

Previous School Address : …………………………………………………………………………….……………………………………………………….

School Contact No. : ……………………….…………………………………………………………………………………………………………………….

Last Exam Class : ………………………………………………………………………….. Exam Year : ……………………………………………………

Percentage : …………………………………………………… Extra Remarks : ……………………………………………………………………………

Submitted Documents :

1. Xerox of Aadhar Card (Student)

2. Xerox of Aadhar Card (Mother)

3. Xerox of Aadhar Card (Father)

4. Xerox of Birth Certificate (Student)

5. Xerox of Caste Certificate (Student) only for OBC/SC/ST

6. Original Transfer Certificate (Student)

7. Affidavit for DOB (Original Copy)

8. 2 Passport Size Photograph (Student)

9. Photograph of Student with Mother and Father

Signature of Parent

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Office Use only

Application Form No. : ……………………………….. Student ID : ……………………… 

Admission in Class : ………………………………...…….  Roll No. : ……….……………..  

Date of Admission : ………………………..  Admission Nature :  ……..………………

Obtained Marks : …………………………..  Percentage : …………………………………

Date of Test : …………………………………….  House : …………………………………….

Remarks : ………………………………………………………………………………………………………………………………………………………………

Sibling : (Name)                                                                       Class                           

……………………………………………………………….                    ……………………                  

……………………………………………………………….                    ……………………                  

……………………………………………………………….                    ……………………                  

Father/Mother/Guardian’s Signature                          Clerk Signature                              Signature of the Principal

Date : …………………………………