Admission Form

1. Name Of The Student : *

2. Aadhar No. : *

3. Father's Name : *

4. Aadhar No. :

5. Occupation Of Father :

6. Mother's Name : *

7. Aadhar No. :

8. Occupation Of Mother :

9. Yearly Income :

Father's Yearly Income
Mother's Yearly Income

10. Date Of Birth (As per Birth Certificate Or Horoscope) : *

11. Age (As on 1st April) : *

12. Nationality : *

13. Gender : *

Select Gender Male Female Other

14. Religion : *

15. Mother Tongue : *

16. Caste : *

Select Caste General OBC SC ST

17. Class in which admission is sought : *

Select Class Of Admission Class-1 Class 2 Class 3 Class 4 Class 5 Class 6 Class 7 Class 8 Class 9 Class 10 KG-II KG-I BAL BATIKA

18. Previous Academic record :

Name of the School last attended
Class in which studied
Medium Of Instruction (English / Odia / Hindi)
Subjects You had in previous school
Mark Secured in Pervious Final Exam
Secured Percentage

19. Permanent Address : *

Village
Post Office
Via (If avilable)
Police Station
District
State
Pin No.
Contact No.

19. Present Address : *

Present Address
Contact No.

20. Local Guardian Name / Any Other Except Parents :

21. Address :

22. Occupation :

23. Relationship With Student :

24. If student have any siblings studing in our school :

25. Upload Documents :

1.Upload Photo *
2. Upload Aadhar Scanned Copy *
3. Upload Birth Certificate *
4. Upload Caste Certificate (if you other that General Caste)