Affiliated To C.B.S.E (New Delhi)
Registration Form
Class
**
:
Session :
First Name Middle Name Last Name
1.
Name of the applicant
**
**
2.
Date of birth
**
As on 1st april 2021
3.
Father's Name
4.
Mother's Name
5.
State
City
6.
Residential Address
**
7.
Pincode
8.
Select Locality
8.
(a) Present School
(b) Recognised/Unrecognised:
Yes
No
(c) Affiliated to (CBSE/ICSE/U.P. Board):
CBSE
ICSE
U.P.
(d) Nationality of the child:
(e) Religion:
(f) Class in which last studied:
(g) Medium of Instruction:
9.
Contact Mobile No. (s)
**
Whatsapp No :
10.
Email Address
11.
Sibling Real brother/sister only
Yes
No
[Tick the appropriate]
If sibling in the same school,
Sibling Name
Give details of sibling
Class-Section
12.
Whether SC/ST/OBC/Gen.
13.
School Alumni
[Tick appropriate]
If Yes, year of passing
(A) Father
Yes
No
(B) Mother
Yes
No
14.
Child with Special Needs
Yes
No
[Enclose authenticated documents]
15.
Educational Qualification
Post Graduation
Graduation
Sr. Secondary school
Secondary School
[Tick highest qualification only]
OR
OR
Examination (10+2)
Examination 10th
Professional Degree
Equivalent
OR Equivalent
OR Equivalent
(A) Father
(A) Mother
16.
Gender(Boy/Girl)
Male
Female
17.
Parents Occupation
Father
Occupation
Designation
Organisation Name
Organistion Add.
Mother
Occupation
Designation
Organisation Name
Organistion Add.
18.
Single Parent
Father
Mother
No
[Tick the appropriate]
19.
Whether Transport Required?
Yes
No
20.
Total Income
Change Image
Student
**
Change Image
Father
Change Image
Mother
A Declaration
Dated : - Signature of Parent / Guardian
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