All * marks are mandatory

Student Details

Student First Name *

Student Last Name *

Date Of Birth *

Sex*

Nationality *

Religion *

Category*

Aadhar Card No*

Bank A/C No*

Studying at present in class*

Session*

Residential *

Address Details

Full Address with PIN code*

Parents / Guardians Details

Father Name *

Father's Qualification*

Mobile Number *

Profession*

Guardian's Name of the Student*

Mother's Name of The student*

Mother's Qualification*

Annual/Monthly Family Income*

Please Upload Following Documents
** Document should be in jpg or pdf files
** Maximum Size of file is 2.5MB

Student Image*

Proof of Documents(any one) *

Upload Documents*

Last School Leavening Certificate