Date
Of Application :
Student's Name
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Gender
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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 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Select Year 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 *
*
DOB(in words)
Blood Group
Select Blood Group O + O - A + A - B + B - AB + AB -
Parent
Select if Applicable Father Mother Both
Category
Select Category Gen ST SC OBC Phy.H Select Category
Nationality
For Class / Stream
Select Class V VI VII VIII IX Select Class
Religion
Select Religion Hindu Muslim Sikh Christian Parsi Jain Buddhist Others Select Religion
Compulsory
Subjects
English.Hindi,Maths,Science,S,St,Sanskrit
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-
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Sibling Real Brother/Sister
Only, Select If Yes
Select One Yes No Select One
If Sibling In The Same
School,
Father's Name
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Mother's Name
Enter Mother's Name
Qualification
Select Qualification Non-Matric Matriculation Intermediate Diploma Graduation P G Ph.D BE / B.Tech Me / M.Tech MD / M.B.B.S Others Enter Qualification
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 Enter Qualification
Occupation
Select Occupation Advocate Service Architect Bank Employee Business Chartered Accountant Others Enter Occupation
Occupation
Select Occupation Advocate Service Architect Bank Employee Business Chartered Accountant House Wife Others Enter Occupation
Government Servent
Select One Yes No Select One
Government Servent
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Designation
Designation
Monthly Income
Monthly Income
Office Address
Office Address
Mobile No.1
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Mobile No.1
Mobile No
Mobile No.2
Mobile No.2
Fax No.
Fax No.
Bus Facility
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Present Address
(Pls
give the Dist. Name also)
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Permanent Address
(Pls give the Dist. Name also) Enter Permanent Address
City
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City
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State
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State
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Nation
Nation
Pin Code
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Pin
Code
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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
Dist :
Pin :
Year of Passing Previous Class
Adhar Card
Number
Previous Class Marks
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Name of Board
Select CBSE ICSE JAC OTHER BOARD
Board Roll No