Registration Date:

    Upload Passport Size Photograph Here:

    Candidate First Name:

    Candidate Last Name

    Blood Group:

    Class you want to apply for:

    Gender:

    DOB:

    Primary Language:

    Permanent Address:

    City:

    Pin Code:

    Contact No.

    Email ID:

    Father’s Name:

    Occupation:

    Contact No.:

    Mother’s Name:

    Occupation:

    Contact No.:

    Emergency Contact (Other than Parents):

    Name of Person who may pick up the child from school premises

    Name:

    Contact:

    Relation:

    If I am not available, and a medical emergency arises, the supervising teacher has my permission to seek medical help at:

    Parent’s / Guardian Digital Signature: