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ADMISSION FORM SENIOR SECONDARY (CBSE)

Date of Application

Student Name

Gender

Male

Female

Date of Birth

Age in Years

Place of Birth

Blood Group

Nationality

Religion

Community

SC

ST

MBC

BC

BCM

BCC

OC

Sub Caste

EMIS No

Aadhaar No

Mother Tongue

Second Language

Third Language

Hostel Accommodation Required

YES

NO

Subject Group Preferred

1. Language, Physics, Chemistry, Biology, Mathematics

2. Language, Physics, Chemistry, Biology, Computer Science

3. Language, Physics, Chemistry, Mathematics, Computer Science

4. Language, Accountancy, Economics, Business Studies, Computer Science

Whether living with Parent (or) Guardian

Parent

Guardian

Father’s Name

Mother’s Name

Father Qualification

Mother Qualification

Father Designation

Mother Designation

Father Mobile No

Mother Mobile No

Father Email Id

Mother Email Id

Father Annual Income

Mother Annual Income

Address

Guardian’s Name

Guardian Qualification

Guardian Occupation

Guardian Address

Guardian Relationship with the Child

Guardian Mobile No

Guardian Email ID

Guardian Annual Income

Upload Student Photo

DECLARATION BY THE PARENT / GUARDIAN

I hereby declare that the details furnished above are correct to my knowledge and belief. I shall abide by the rules and regulations of the institution.

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