1) ..............................
PHOTO
2) NAME OF STUDENT.............................................
3) NAME OF FATHER..............................................
4)NAME OF MOTHER.............................................
5) NAME OF GUARDIAN..........................................
6) ADDRESS..............................................................
7) DATE OF BIRTH...................................................
8)BLOOD GROUP...........................
9)ADDHAR NO. .............................
10) MOBILE NO. ..........................
11) .......................................
(Guardian's SIGNATURE )
School .......................................
Seal ........................................
HEADTEACHER ....... SIGNATURE
DATE:...........
Place: ...........
....