Name of Pupil* ( In BLock Letters )

Sex * -- Select -- Male Female

Aadhar Number *

Age *

Date of Birth *

Place of Birth *

State *

Nationality *

Standard to which admission is sought *

Whether living with Parent / Guardian *

Religion *

Community*

Number & Date of T.C from the School last attended by pupil *

Whether Private or Recognized*

Medium of Instruction*

Mother tongue *

Name of Father*

Occupation of Father*

Educational Qualification*

Official Designation*

Annual income*

Name of Mother*

Occupation of Mother*

Educational Qualification*

Official Designation*

Annual income*

Permanent Address

Permanent Contact Number

Local Address

Local Contact Number

Local Guardian Name

Local Guardian Address

List of Name of own brothers & sisters studying in this Institution and class

Whether Inoculated *

Photo copy of Birth Certificate *

Passport Size Photo of Pupil *