Senior Secondary Admission Form

Student Information

First Name : Middle Name : Last Name/Surname : Date of Birth : Place of Birth : Gender : Male Female Enquiry Source : Online SMS Religion: Caste: Nationality: Aadhar No:

Admission Information

Academic Year2020-2021 Board CBSE SSC STD. XI XII

Address For Communication

Flat No./Building : Street/Post Office : Area/Taluka : Country : State: City : Pin Code : Tel No : Mobile No : Email ID :

Emergency Contact

First Name : Middle Name : Last Name/Surname : Relationship : Mobile No. :

Health Information

Please provide any information concerning the Applicant's health, which the school know about :

Blood Group A B AB O Height : Weight : Regular Medication : Regular Medication with dosage : Any Imapairment : Exemption from Activities :

Parent Information

Past Academic Information