Applicant's Information

Student Name
:
Gender
:
MaleFemale
Date of Birth
:
Blood Group
:
Nationality
:
State
:
Mother Tongue
:
Religion
:
Caste
:
Community
:
Physical Disability if any?
:
YesNo

If Yes :
Name and Address of the previous school
:
Class Studied in
:
Year of Passing
:
Present Address
:
City
:
Pincode
:
Permanent Address
:
City
:
Pincode
:
Proficiency in Extra Curricular Activities
:

Detail's of the Applicant's Father / Guardian

Father's Name
:
Qualification
:
Annual Income
:
Occupation
:
Phone Number
:

Detail's of the Applicant's Mother / Guardian

Mother's Name
:
Qualification
:
Annual Income
:
Occupation
:
Phone Number
: