
Serial No.................
1. Name of the Student.........................................................................................
2. Father's/Mother's Name...................................................................................
3. Date of birth as per birth/transfer certificate.................................................
4. Class in which admission sought for............................................................
5. Class attended in the previous year..............................................................
6. Name of the School last attended.................................................................
7. Permanent address.......................................................................................
8. Category [ST / SC / OBC / GEN }
9. Religion...........................................................................................................
10. Student's Aadhaar Number........................................................................
11. Father's Aadhaar Number..........................................................................
12. Mother's Aadhaar Number.........................................................................
13. Contact Number.........................................................................................
14. Student's Account Number.......................................................................
Testimonial to be submitted with admission form:
a. Transfer certificate(original)from the school last attended.
b. Marks Sheet( Xerox and attested)
c. Xeroxed copy of the Birth Certificate)
Signature of Parents/Guardian.......................................... Full Signature
date ................................................... ..............................................