Admission Form

Name of the Student

Date of Birth

Class for which admission is sought
NurseryPrepKGPG1st2nd3rd4th5th6th7th8th9th10th11th12th

Select Stream for Class 11th and 12th
ScienceCommerceAgricultureArts

Sex (Gender)
MaleFemale

General/SC/ST/OBC
GeneralOBCSCSTOther

Father’s Name (In Block Letters) (required)

Residential/Permanent Address

Father’s Mobile No.

Father’s Whatsapp No.

E-mail ID.

Mother’s Name

Mother’s Mobile No/Whatsapp No.

Sport (Interest In)
IndoorOutdoorBoth

Other Interest
SingingDanceDrama

Distance of Residence from the School
1Km2Km3Km4Km5Km6Km7Km8Km9Km10KmMorethen 11Km

Is the School Transport required?
NoYes

Medical information Does the student have some special Needs? If yes, give details

Parameters for Admission

Neighbourhood
0-5kms5-10kmsAbove

Sibling (Real brother/Sister only)
NoYes

If sibling is in the same school, Then Sibling Name

If sibling is in the same school, Then Sibling Class and Section

Is student physically challenged
NoYes

Single Parent(widow/widower/divorced/Adoption by unmarried)
NoYes

Transfer Case
NoYes

Previous School Name

Attested Photocopies of documents submitted are tick-marked below
Date of Birth Certificate of the studentCast Certificate SC/ST/OBCMedical certificate of the studentProof of residenceUID cardIncome CertificateProof of transfer in the last 10 years

Payment Mode
UPIBank TransferNEFTIMPSPaytmOther

Payment Transaction ID

If Screenshot Available then Attached