Date of Birth*

Age (as on 01-04-2023)

Place of Birth*

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Mother Tongue*

Nationality*

Religion*

--Select Religion-- Buddhism Christianity Hinduism Jainism Islam Sikhism Others

Students AADHAR Card Number (Optional)

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Physically challenged/Child with spl. needs*

--Select Category-- YES NO

Residential Address*

City*

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State*

Pin Code*

Name of the previous school attended

City in which last school was located

Year of Passing

Affiliated Board (ICSE/CBSE/Any Other)

Last Class Attended

Upload last academic Grade sheet/Report card .jpg,.png(Optional):

Name*

Mobile no.*

E-mail*

Academic Qualification*

--Select Qualification-- 10th 12th GRADUATION POST GRADUATION

Occupation*

--Select Profession-- BUSINESS CONSULTANT DOCTOR EDUCATIONIST ENGINEER GOVT SERVICE LAWYER OTHER PRIVATE SERVICE SELF-EMPLOYED

Name*

Mobile no.*

E-mail*

Academic Qualification*

--Select Qualification-- 10th 12th GRADUATION POST GRADUATION

Occupation*

--Select Profession-- BUSINESS CONSULTANT DOCTOR EDUCATIONIST ENGINEER GOVT SERVICE LAWYER OTHER PRIVATE SERVICE SELF-EMPLOYED HOMEMAKER

Name

Mobile no.

Relationship With The Child

Guardian Email

Residential Address

I Agree

I declare that I have carefully read all the rules and regulations of the school mentioned above and that I will abide by all of them and will always be associated with the school as its integral part, in a constructive and productive manner.