Applicant Details
Name of the child
*
Date of Birth
*
/
Day
/
Month
Year
Only children born between 1st of October 2022 and 30th of September 2023 are eligible to apply for registration
Gender
*
Girl
Boy
Mother's Name
*
Father's Name
*
Nationality
*
Religion
*
Caste
*
Community Category
*
Please Select
OC
BC
MBC
SC
ST
(OC stands for other community)
Admission Category
*
Please Select
General
Sibling
Alumni
Communication Details
Locality Code
*
Please Select
0-1 km
1-2 kms
2-3 kms
Residential Address
*
Pincode
*
Land Mark
*
Mother's Mobile number
*
Please do not prefix any number like ( '0' or +91)
Format: (0000000000).
Father's Mobile number
*
Please do not prefix any number like ( '0' or +91)
Format: (0000000000).
Land Line Phone number
-
Area Code
Phone Number
Email Id
*
Confirmation Email
Other Details
Father's Qualification
*
Mother's Qualification
*
Father's Occupation Details
Occupation / Designation
*
Annual Income
*
The above values are in INR
Organisation Name
*
Organisation Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mother's Occupation Details
Occupation / Designation
*
Annual Income
The above values are in INR
Organisation Name
Organisation Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Signature of the Father
Signature of the Mother
Name of the Father
*
Name of the Mother
*
Date of Submission
/
Day
/
Month
Year
Hour Minutes
AM
PM
AM/PM Option
Submit
Should be Empty: