Admission Form

Admission Rules
Admission Form
- Form Submission
- Form Search
Form Fill-Up Process

(Fields marked * are mandatory)

Applying For:

Select Subject Combination *

Date Of Issue:

Date Of Submission:

Student Name:

*
(First Name)

(Middle Name)

*
(Last Name)

Address Details:

Address1*

Address2

City/Village*

Pin*

State

Block / Ward Name	Post Office

District	Police Station

Father's Name:

Mother's Name:

Guardian's Name:

Income (Monthly):

Relationship with Guardian:

Date Of Birth:

PH Religion:

Caste

Gender

Male

APL/BPL

APL

BPL

No.:

Last School:

Examination Passed:

Passing Year:

Madhyamik Examination

Roll :

Whatsapp/Mobile No. :

Class X

Subjects X	Beng	Eng	Math	P.Sc.	L.Sc.	Hist	Geo	Total
Marks Obtained									*

(Self Attested copies of Mark Sheet, Admit Card and Testimonial must be attached and the original Testimonial must be produced for verification at the time of admission.)