1. Name of the Student (Block Letters) * 2. Gender* MaleFemale 3. Date of Birth* 4. Date of Birth ( In Words )* 5. Student Aadhar Card 6. Religion Select ReligionHinduMuslimChristianSikhBhuddhistParsiJainOther 7. Minority YesNo 8. Mother Tongue Select Mother TongueHindiEnglishBengaliTeluguMarathiTamilUrduGujaratiKannadaMalayalamOdiaPunjabiOthers 9. Whether belongs to SC/ ST/ Backward category (Attach Certificate) SCSTOBCGEN 10. Does the child have any special need? YesNo 11. Disability Not applicableVisual ( Blindness)Visual ( Low Vision)HearingspeechlocomotorMental RetardationLearning DisabilityCerebral PalsyAutismMultiple Disabilities 12. Special Need Details 13. Is school transport required? YesNo 14. Mention the name & class (if any) of real brother/sister of the applicant studying in this school i. Name ii. Class iii. Sec i. Name ii. Class iii. Sec 15. Details of Parents Details of Parents Father Mother Name Age Profession Designation Address (Official) Telephone No. E.mail ID 16. Is father/mother an alumni of this school? YesNo 17. If yes , name and year of passing Class XII 18. Residential Address* 19. Are you the staff of the school?* YesNo 20. Staff Designation* 21. Child's photograph 22. Aadhar card of the father 23. Aadhar card of the mother 24. Aadhar card of the child Declaration I/We, hereby certify that the information given above is correct to the best of my/our knowledge. I/We understand that in case of any information found to be misleading or false, shortlisting for registration/ admission of my/our ward may be cancelled without any correspondence in this regard. I/We agree that the application/registration/shortlisting does not guarantee admission of my/our ward. I/We accept the admission procedure of the school and the decision taken by the school authorities will be binding on me/us. [wpterms id=”9341″]
