SECTION 1
CLASS in which this child is to be admitted
*
Select Class
NURSERY (DD Nagar)
NURSERY (Surve Nagar)
KG-I (DD Nagar)
KG-I (Surve Nagar)
KG-II (DD Nagar)
KG-II (Surve Nagar)
Std-I
Std-II
Std-III
Std-IV
Std-V
Std-VI
Std-VII
Std-VIII
Std-IX
Std-X
Surname of Pupil
*
Student's Name
*
Father's Name
*
Mother's Name
*
Date of Birth
*
Aadhar No
*
Place of Birth
*
District of Birth
*
State of Birth
*
Select
ANDAMAN & NICOBAR (U.T.)
ANDHRA PRADESH
ARUNACHAL PRADESH
ASSAM
BIHAR
CHANDIGARH (U.T.)
CHHATTISGARH
DADRA & NAGAR HAVELI (U.T
DAMAN & DIU (U.T.)
DELHI (U.T.-NCT)
GOA
GUJARAT
HARYANA
HIMACHAL PRADESH
JAMMU & KASHMIR
JHARKHAND
KARNATAKA
KERALA
LAKSHADWEEP (U.T.)
MADHYA PRADESH
MAHARASHTRA
MANIPUR
MEGHALAYA
MIZORAM
NAGALAND
ORISSA
PONDICHERRY (U.T.)
PUNJAB
RAJASTHAN
SIKKIM
TAMIL NADU
TRIPURA
UTTAR PRADESH
UTTARANCHAL
WEST BENGAL
Gender
*
Select
Male
Female
Name of Last School Attended
UDISE No
Address of Last School Attended
Ethanic Background
Caste
*
Caste Category
*
Select
NOMADIC TRIBES (NT)
OTHER BACKWARD CLASS (OBC)
GENERAL (OPEN)
SPECIAL BACKWARD CLASS (SBC)
SCHEDULED CASTE (SC)
SCHEDULED TRIBE (ST)
VIMUKTA JATI (VJ)
Religion
*
Mother Tongue
*
SECTION 2
Full Name of parent with parental responsibility
*
Relationship to pupil
*
Current Address at the time of application
*
City
*
Pin Code
*
State
*
Select
ANDAMAN & NICOBAR (U.T.)
ANDHRA PRADESH
ARUNACHAL PRADESH
ASSAM
BIHAR
CHANDIGARH (U.T.)
CHHATTISGARH
DADRA & NAGAR HAVELI (U.T
DAMAN & DIU (U.T.)
DELHI (U.T.-NCT)
GOA
GUJARAT
HARYANA
HIMACHAL PRADESH
JAMMU & KASHMIR
JHARKHAND
KARNATAKA
KERALA
LAKSHADWEEP (U.T.)
MADHYA PRADESH
MAHARASHTRA
MANIPUR
MEGHALAYA
MIZORAM
NAGALAND
ORISSA
PONDICHERRY (U.T.)
PUNJAB
RAJASTHAN
SIKKIM
TAMIL NADU
TRIPURA
UTTAR PRADESH
UTTARANCHAL
WEST BENGAL
Country
*
Mobile No (1)
*
Mobile No (2)
email id
Do you have parental responsibility for this child
*
Yes
No
If you have other child/children, Please give Details
Name
Date of Birth
School Attending
*
Submit