APPLICATION FORM FOR THE ACADEMIC YEAR : 2021 - 2022
Applicant Information
Name of the Pupil ( As per child's Birth Certificate only ) *
Gender
Male
Female
1) Personal Marks of Identification *
2) Personal Marks of Identification *
Date of Birth *
Aadhar No
Single Child ?
No
Yes
No of Siblings
1
2
3
4
5
EMIS No
Mother Tongue *
Tamil
Hindi
Bengali
Telugu
Marathi
Urdu
Gujarati
Kannada
Malayalam
Odia
Punjabi
Assamese
Maithili
Bhili/Bhilodi
Santali
Kashmiri
Nepali
Gondi
Sindhi
Konkani
Dogri
Khandeshi
Kurukh
Tulu
Meitei
Bodo
Khasi
Mundari
English
Religion *
Hindu
Muslim
Christian
Roman Catholic
Buddhism
Sikhism
Jainism
Others
If Christian Mention Denomination
Community *
OC
BC
BCM
MBC
SC
ST
Caste *
Nationality *
City *
State *
Postal Code *
Residence Mobile No *
Telephone No
1) Major Language Spoken at Home
2) Major Language Spoken at Home
3) Major Language Spoken at Home
Residential Address *
Admission Details
Admission for Class *
LKG
UKG
Previous Pre School Name
Any Brother(s) / Sister(s) presently studying in this school if yes, please fill in the particulars
Sibling Name
Sibling Class
Sibling Joining Year
Sibling Name
Sibling Class
Sibling Joining Year
Father's Particulars
Name ( As per child's Birth Certificate only ) *
Nationality *
Educational Qualification *
Type of Employment
Business
Salaried
Self Employed Professional
None
Name of the Organization / Business
Designation
Annual Income (in Lakhs)
Below 6
6-7
7-8
8-9
9-10
10-15
15-20
20-25
25 Above
Email *
Office Address
Office Phone No
Mobile No *
Mother's Particulars
Name ( As per child's Birth Certificate only ) *
Nationality *
Educational Qualification *
Type of Employment
Business
Salaried
Self Employed Professional
None
Name of the Organization / Business
Designation
Annual Income (in Lakhs)
Below 6
6-7
7-8
8-9
9-10
10-15
15-20
20-25
25 Above
Email *
Office Address
Office Phone No
Mobile No *
Other Information
Whether transport facility is required ?
No
Yes
Distance to School (in km) *
0-1
1-2
2-3
3-4
4-5
5-6
6-7
7-8
8-9
9-10
10 above
Specify the boarding point)
Previous PreSchool?
What is your aim in life?
Why do you seek admission in this school?
What are your talents?
Do you own a computer with internet connection ?
No
Yes
I here by declare that the above statements are correct and true to the best of my knowledge and belief.
I declare that i will not ask for change in date of birth or community in future.
I here by also agree to abide by the existing rules and regulations in force and those, that may be framed from time to time, including the rules related to fee.
