Admission form

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Basic Details


Student Name*:
Gender *:
Date of Birth *:
Place of Birth *:
Admission In *:
Subject Taken *:
Medium *:
Nationality *:
EWS/Disabled *:

Blood Group :
Category *:
Cast *:
Religion *:
Minority *:
BPL *:
Aadhar No *
Bhamashah ID

Contact Details


Mobile No *
Email *

Correspondance Address


Address*:
Area*:
City*:
District*:
State*:

Permanent Address


Address*:
Area*:
City*:
District*:
State*:

Parents/Gaurdians Detail


Father's Name *:
Qualification *:
Father's Mobile *:
Occupation *:
Father's Yearly Income *:

Mother's Name *:
Qualification:
Mother's Mobile:
Occupation :
Mother's Yearly Income:

Guardian's Name:
Relation:
Guardian's Mobile:
Occupation:
Qualification:

12th Class Details


Roll No *:
Board Name *:
Marks Obtained *:
Percentage *:

Previous School Details


School Name *:
Previous Class *:
Result *:

Banks Details


Bank Name:
Bank Address:
IFSC Code:
Account Number:
Account Name:

Transport Details


conveyance Required:
Stopage:
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