CBSE Affiliation No: 2131022 School code - 71252
Registration start from
01/01/2022
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Registration Form
Name of Pupil(IN BLOCK LETTERS)
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Date of Birth
Mother’s Name(IN BLOCK LETTERS)
Qualification
Occupation
Mother/Father’s Name(IN BLOCK LETTERS)
Qualification
Occupation
Annual Income
Guardian's Name(In Capital Letter)
Qualification
Occupation
Annual Income
Nationality
Religion
Caste Category
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General
OBC
SC
ST
Sub-Category
Handicapped
Yes
No
Sex
Male
Female
School/Class in which the pupil last studies
Class
Board
Percentage
Exam
Medium
Address
Whether any sibling/s studying in this school?
Yes
No
If Yes,
Name of the child
Class
Section
Permanent Address
Pin Code
Phone
Mobile
Residential Address
Pin Code
Phone
Mobile
Distance from the school (in KMS)
Conveyance required or not
Date of Registration
Class
Upload Signature
I hereby declare that the above particulars furnished by me are true and correct. I have carefully gone though the instruction
and conditions, understood them, and agree to abide by them. I agree that the school authority have every right to take appropriate
action, if the documents are found to be false or forged.