Pupil`s Name in BLOCK : Mr/Miss | |
Father`s Name in BLOCK : | |
Mother`s Name in BLOCK : |
Date of Birth: |
Aadhar number: 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):
Form No: |
Father`s: | |
Mother`s: | |
Guardian`s: |
E-Mail ID: Father`s : Mother`s:
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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.