Today's Date :
Student's Name
Gender
Select Gender Male Female
Date Of Birth
Select Date 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Select Month 01 02 03 04 05 06 07 08 09 10 11 12 Select Year 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014
Blood Group
Select Blood Group O + O - A + A - B + B - AB + AB -
Single Parent
Select if Applicable Father Mother Both
Category
Select Category Gen ST SC OBC Phy.H
Nationality
Application For Class
Select Class LKG UKG
Religion
Select Religion Hindu Muslim Sikh Christian Others
Sibling Real Brother/Sister
Only, Select If Yes
Select One Yes No
If Sibling In The Same
School,
Give Detail Of Sibling
Father's Name
Mother's Name
Qualification
Select Qualification Non-Matric Matriculation Intermediate Diploma Graduation Post Graduation Ph.D BE / B.Tech Me / M.Tech MD / M.B.B.S Others
Qualification
Select Qualification Non-Matric Matriculation Intermediate Diploma Graduation Post Graduation Ph.D BE / B.Tech Me / M.Tech MD / M.B.B.S Others
Occupation
Select Occupation Advocate Service Architect Bank Employee Business Chartered Accountant Others
Occupation
Select Occupation Advocate Service Architect Bank Employee Business Chartered Accountant House Wife Others
Government Servent
Select One Yes No
Government Servent
Select One Yes No
Designation
Designation
Aadhar No.
Aadhar No.
Monthly Income
Monthly Income
Office Address
Office Address
Mobile No.1
Mobile No.1
Mobile No.2
Mobile No.2
Fax No.
Fax No.
Select Wing
Select Wing Itki Wing West End Wing
Bus Stop
Present Address
Permanent Address
Village/Street/Ward
Village/Street/Ward
City
City
State
State
Nation
Nation
Pin Code
Code
Phone No.
Phone No.
Mobile No.1
Mobile No.1
Mobile No.2
Mobile No.2
Email Id (Login Email Id)
Last School
Name & Address
Transfer Certificate
No.
Transfer Certificate
Date
Character Certificate
No.
Character Certificate
Date
Payment Mode
Select Mode Demand Draft Cash
Demand Draft No.
Demand Draft Date
Demand Draft Amount
Issuing Bank Name
DOB Certificate No.
School Alumni
(A) Father
Check If Yes
(B) Mother
Check If Yes
Child with
Special Needs
Select One Yes No
Note :- 1) An affidavit regarding local address/transport no request for further change of Name of the child and DOB duly signed by the parents and grandparents (if living with the child) must be submitted at the time of admission.
2) Submit the duly filled in form to the concerned wing (West End Park or Itki Road) in which admission is sought.
3) Photocopy of Aadhar card of the parent must be submitted at the time of the submission of the form. The Parents should also submit the Aadhar card of the child (if available).