Name of Child:

Date of Birth:

Gender:
MaleFemale
Place of Birth:

State of Birth:

Nationality:

Domicile of:

Category:
GeneralOBCSCSTOther
Admission Sought For:
PlayNurseryLKGUKGSTD-ISTD-IISTD-IIISTD-IV
Father's Name:

Father's Age:

Educational Qualification:

Father's Occupation:
Private ServiceGovernment ServiceBusinessVendorNoneOther
Father's Mobile Number:

Father's Aadhar Number:

Mother's Name:

Mother's Age:

Educational Qualification:

Mother's Occupation:
Private ServiceGovernment ServiceBusinessVendorNoneOtherHousewife
Mother's Mobile Number:

Mother's Aadhar Number:

Grand Father's Name:

Grand Father's Age:

Grand Mother's Name:

Grand Mother's Age:

Residential Address:

Permanent Address:

Email:

Distance From Institution:

Transport Facility:
YesNoNot Decided
Number of Siblings:

1. Name:

Age:

Gender:
MaleFemale
2. Name:

Age:

Gender:
MaleFemale
3. Name:

Age:

Gender:
MaleFemale