| Name of Student in capital letters | : | *
|
| Email ID | : | *
|
| Sex | : | Male Female* |
| Name of father | : | *
|
| Name of mother | : | *
|
| Name of Guardian, if required | : |
|
| School previously attended (Name of School) | : | *
|
| Date of Birth | : | * |
| DOB (in words) | : | *
|
| Religion and caste *
| : | *
|
| Nationality and State | : | *
|
| Standard to which admission is sought ( in words) | : | *
|
| Aadhaar No | : | *
|
| Sender Name | : | *
|
| Contact Mobile /Land line number | : | *
|
| Your Email | : | *
|
| Date of Submission | : | |
| Place | : | *
|
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