STUDENT ADMISSION FORM | Reg No. - 20163 | ||
Admission Std. | Admission Date | ||
Admission No. : | |||
Student Name | Father Name | ||
Mother Name | Mother Tongue | ||
Religion | caste | ||
Group | Date Of Birth | ||
Place of birth | State | ||
Nationality | |||
Last School Name | |||
Address | |||
Father Profession/Business | Mother Profession | ||
Residence Address | |||
Office Address | |||
Residence Phone | Residence Phone | ||
Local Guardian (i) | Address ( I ) | ||
Local Guardian II | Address II | ||
Witness Name | Witness Phone No. | ||
Hostel /Day Scholor | Height | Weight | |
Family Doctor Name | |||
Blood Group | |||
Doctor Address | Phone No. | ||
Disease if any | Allergies | ||
Preventive Medicine | |||
Student Photo | Father Photo | Mother Photo | |
Birth / Transfer certificate | |||
Caste Certificate | Concession Type | ||
Coution Money with date | Using Bus | ||
Bus No. | Bus Stop Name | Form Completed By Parent |
Admission Form