Online Registration Form

Name of the Candidate *
Applying for Class *
Date of Birth (As Per Date of Birth Certificate)*
Gender *
Mother Tongue *
Aadhaar No. of the Student
Nationality *
Select Student's Image (Max Image Size 80 KB)
Category *
Religion *
Father's Particulars:
Mother's Particulars:
Father's Name *
Mother's Name *
Occupation
Occupation
Postal Address (With pin code) *
Postal Address (With pin code)
Mobile No.*
Mobile No.
Partticulars of the local Guardian (For out stationed candidates only) :-
Whether bus Facility is required
Name of the Family Doctor
Mobile No. of the Family Doctor
Special Needs (if any)
Approximate distance of residence from this school
KM
Neighbourhood / Locality *
(Please refer to point no.31 of the prospectus.
Locality name should be selected strictly from the list provided in the online prospectus)
Sibling
If Yes, Give Details
School Alumni
Father
 
Mother
 
Girl Child
 
Single Child / First Child
 
GRAND TOTAL
 
Name of the school last attended (with address)
Class in which he/she was studying
Medium of Instruction
 
Reason for leaving the previous school
 

UNDERTAKING

I
of candidate do hereby solemnly declare that information given above by me is based on facts and authentic record.
I shall produce the required original documents at the time of admission. Admission of my ward may be cancelled if any information is found to be false.