Online Registration Form (2019 - 20)


REGISTRATION NO : 17

Applied Class For :
Upload Photo :

Personal Detail
Applicant Name :
Date Of Birth :
Nationality :
Religion :
Category :
Gender :
Address:  
City :
State :
Pin :
Mobile No. :
Email :

Parent Details

Father Details
Father Name :
Mobile No. :
Email :
Occupation :
Organization :
Office address:
Landline Number (Office) :

Mother Details
Mother Name :
Mobile No. :
Email :
Occupation :
Organization :
Office address:
Landline Number (Office) :

Local Guardian Details (if any)
Name :
Mobile No. :
address:
Landline Number (Home) :

Qualification Details
Last Attended Class :
Year :
School Name :
School Board Name :
Address of School:
Result Of Last Exam (%) :