Name Of Candidate * :

Date of Birth *

Age *

Sex *
MaleFemale

Nationality *

Religion *

Community *

Sub-Caste *

Name Of School Presently Studying In *

Grade Presently Studying In *

Grade For Which Admission Is Sought *

Name Of Father / Guardian *

Qualification Of Father *

Occupation Of Father / Guardian *

Name Of The Organisation *

Designation Of Father / Guardian *

Name Of Mother *

Qualification Of Mother

Occupation Of Mother

Name Of The Organisation

Designation Of Mother

Siblings' Name (Own Brother / Sister)

Siblings' School Name (Own Brother / Sister)

Siblings' Grade (Own Brother / Sister)

Residential Address

Street Address *

Apt, Suite, Bldg. (optional)

Mobile Number Of Father

Mobile Number Of Mother

Mobile Number Of Guardian

Land Line

Email