Online Registration Form!

SL. NO.	REGISTRATION NO.	AFFIX PASSPORT SIZE PHOTO HERE	DATE

NAME OF THE STUDENT (ONLY IN BLOCK/CAPITAL LETTERS)

FATHER'S/GUARDIAN'S NAME (ONLY IN BLOCK/CAPITAL LETTERS)

A. OCCUPATION

B. DESIGNATION

PHONE NO.

C. RESIDENTIAL ADDRESS

DATE OF BIRTH	CLASS (IN WHICH YOU WANT)
(MM/DD/YYYY)
PRE CLASS PASSED (A) DIVISION	(B) PERCENTAGE OF MARKS
IF YOU WANT HOSTEL FACILITIES OR NOT	IF YOU WANT SCHOOL BUS OR NOT
-SELECT- NO YES	-SELECT- NO YES
PRESENT AGE
SIGNATURE OF THE STUDENT	SIGNATURE OF THE FATHER/GUARDIAN