Form Download

Basic Information      
Name*   DOB*(DD/MM/YYYY)  
Birth Registration Number   Gender*  
Social Catagory*   Religion*  
Mother Tongue*   Nationality*  
Aadhaar Number   Blood Group  
Identification Mark  
       
Educational Information    
Academic Year*   Admission No*  
Admission Date*   Present Class*  
Present Section*   Present Stream  
Present Roll No*   Previous Class*  
Previous Section*   Previous Stream  
Previous Roll No   Medium*  
If studying in class 1, Status of the previous year   No. of days child attended School (in the prev. year)  
       
Contact Information For Student    
Country*   State*  
Address*   Habitation or Locality*  
District*   Block*  
Panchayat*   Post Office*  
Police Station*   Pin Code*  
Contact No   Email  
       
Guardian Information    
Father's Name   Mother's Name  
Guardian's Name   Relationship  
Annual Family Income   Guardian's Qualification  
       
Guardian's Contact Information    
Country*   State*  
Address*   Habitation or Locality*  
District*   Block*  
Panchayat*   Post Office*  
Police Station*   Pin Code*  
Contact No   Email  
       
Other Information      
BPL Status   BPL No.   
Children with special need   Disability type   
Health ID      
       
Facilities      
Disadvantaged Group   Getting free education as per RTE Act  
Whether the child is Homeless   No of Uniform Sets Received  
Complete set of free books   Free Transport facilities  
Free Shoe   Free Exercise book  
Free Escort Facility   Free Hostel facility  
Special Training Facility   Free Bicycle  
       
Bank Details      
Bank Name*   IFSC*  
Branch Name*   Account Number*  
       
       
Signature of Guardian HOI Signature & Date with Office Seal