Online Admission

Select photo:

Pupil`s Name in BLOCK : Mr/Miss
Father`s Name in BLOCK :
Mother`s Name in BLOCK :

Date of Birth:

Gender: Social Category: (Submit supporting photostat document) CWSN (Children With Special Needs): (If Yes submit supporting photostat document) Tribe/Community: Religion: Identification Mark (BLACK MOLE ONLY):

Seeking Admission In Class: (If selected class 9, mandotary for class 9 & 10 to select 6th subject). Select 6th Subject: As Day Scholar or Hosteller: Name of School Last Attended: District: Bus Facility Required: Address:

Emergency Contact No:

(As per Birth Certificate submitted).

Pilgrim Higher Secondary, Dimapur

ONLINE REGISTRATION PRO FORMA FOR Class: Nursery - 10

* Incomplete Form will not be accepted.

Form No:

Father`s:
Mother`s:
Guardian`s:

REMARKS;FOR OFFICE ONLY

Photo/BC/CC/CWSN/PCR/TC/NBSE CLASS 8/9 Reg. Card

Signature:

Date :

E-Mail ID: Father`s : Mother`s:

..................................................................... ............................................................

Signature of Parent/Guardian Date

Click to Upload Files Total Uploaded:

N.B: * Submit 1 one photocopy of Birth Certificate along with admission form.

*Submit 1 one photocopy of Social Category/Cast Certificate/CWSN Certificate.

* Admitted students are to submit at the school fee counter, 4 Nos of recent Passport photo 4 cm x 3 cm against white background in Pilgrim Higher Secondary Winter Uniform with Name and Class Written at the back of the photo on or before 31st January or within 5 days after admission.

* Submit class 8/9 NBSE registration card in original.

Here i am