APPLICATION FOR ADMISSION

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Particulars
Details
1
Full Name of the Pupil :
2
3
Date of Birth (In figures) :
 
Date of Birth (In Words) :
 
Date of Birth (Authority) :
4
Name of Father :
5
Name of Mother :
6
Father's Occupation :
    (a)
Army/AirForce/Navy :
  Army   
  Navy   
  Air Force   
    (b)
Rank :
    (c)
Serving/Retired :
  Serving   
  Retired   
    (d)
Civilian :
  Yes   
  No   
7
Address :
    (a)
Official : 
Contact No : 
    (b)
Residential :
 
WhatsApp No :
(Purpose: Online Classes) 
8
Father’s Income (from all sources) per month :
9  (a)
Class last studied :
    (b)
School in which last studied :
    (c)
Medium of Instruction :
  English
  Hindi
    (d)
Was the school recognized or not? :
  Yes
  No
    (e)
Examination body to which the school was affiliated :
10
Result of the last examination Passed/Failed :
  Passed
  Failed
11
Class to which the admission is sought :
12
Mother tongue of the student :
13
Details of Transfer Certificate attached, if any :
14
Whether SC, ST, OBC etc. :
15
Hobbies: Art, Music, Embroidery, Cutting & Stiching, Science Club etc. :
16
Any Specific Medical Condition :
17
18
19


DECLARATION BY THE PARENT

I hereby declare that the date of birth of my son/daughter is
(Name) is (D.O.B.) and other particulars are correct and that I would not demand any change in them at any subsequent date.

Upload Parent's Signature: