Student Addmission Form
Student Name*
Father Name*
Father Mobile*
Father Ocupation*
Select-Any-One
Govt Servent
Private Job
Business
Rickshaw Pollar
Rehdi Keeper
Shop keeper
labour Class
Retire
Father Qualification*
Select-Any-One
Belowe-10
10th
12th
Graduate
Post Graduate
Other Diploma
Mother Name*
Mother Mobile
Mother Ocupation*
Select-Any-One
Job
Business
Shop keeper
Teacher
Govt. Employee
Home Lady
Mother Qualification*
Select-Any-One
Belowe-10
10th
12th
Graduate
Post Graduate
Other Diploma
Religion*
Select-Any-One
Islam
Hindu
Sikh
Chrischen
Gender*
Select-Any-One
Male
Female
Date of Birth*
DAY
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
MONTH
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
NOV
DEC
YEAR
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
Category*
Select-Any-One
General
OBC
SC/ST
Upload Birth Certificate
Adhar No.
Uploade Adhar
Palace of Birth
Blood Group
Select-Any-One
N/A
O+
O-
A+
A-
B+
B-
AB+
AB-
Cast
Mohalla/Village*
E-mail Id
Create User Name
Create Password
Teacher Id
S-R No
Image*