ADMISSION FORM

Student Details

Student Name ^* :

Date Of Birth * :

Gender * :

 Female    Male

Religion * :

Caste * :

Sub-Caste * :

Address * :

Tel/Mobile No. * :

Pin Code-landline No. OR Mobile No

Photo * :

Parent Details

Father Name ^* :

Mother Name ^* :

address ^* :

Parent's Annual Income ^* :

Income Certificate Applies? ^* :

  Yes   No

Previous School/College Details

School/College Name ^* :

School/College Address ^* :

Previous Class Passed ^* :

Register/STS Number ^* :

Year and Month ^* :

-- SELECT PASSED OUT YEAR -- 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024

-- SELECT PASSED OUT MONTH -- 1 Jan 2 Feb 3 Mar 4 Apr 5 May 6 Jun 7 Jul 8 Aug 9 Sep 10 Oct 11 Nov 12 Dec

Medium ^* :

-- SELECT MEDIUM -- English Kannada Hindi Urdu Telgu

1^st Language ^* :

-- SELECT 1^ST LANGUAGE -- Kannada English Hindi Sanskrit Urdu Telgu

2^nd Language ^* :

-- SELECT 2^nd LANGUAGE -- Kannada English Hindi Sanskrit Urdu Telgu

3^rd Language ^* :

-- SELECT 3^rd LANGUAGE -- Kannada English Hindi Sanskrit Urdu Telgu

Science ^* :

Mathematics ^* :

Social Science ^* :

Extra Curricular Activities ^* :

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