APPLICATION FORM FOR THE SESSION 2024-25
*All Fields are Mandatory
1. Name in full (As given in your Certificate) *
   
 
2. Father's Name *
3. Mother's Name *
4. Date of Birth(DD/MM/YY)*             
5. Age as on 01/04/2024*
 
 
6. Last School Attended *
7. Whether Affiliated or Not *
8. Board
9. Address for Correspondence (Please DO NOT Use Comma)
C/O LandMark/HouseNo/Flat
Street/Village PostOffice
Police Station      City*
PIN* STATE*
10. Nationality*
11. Mobile Number *
Whatsapp No. Alt. Mobile Number
   
12. Email ID *
13. Gender*
14. Category* ( If OBC then Write Religion)
15. Father's Aadhar Number *
16. Mother's Aadhar Number *
17. Pupil's Aadhar Number
 

MEDICAL INFORMATION OF THE PUPIL
1. Name of the Family Doctor *
  Phone No    
2. Vaccination Status  
Vaccination Completed
BCG
OPV
HEPATITIS B
DPT
MEASLES VAC
MMR
TT (TETANUS)
HIV