Name of the Student

Admission shouted for Admission shouted forClass VClass VIClass VIIClass VIIIClass IXClass XI

Cast CastGeneralOBCSCST

Present Class Present ClassClass VClass VIClass VIIClass VIIIClass IXClass XI

Educational Qualifications

Extra Curricular Activities

Date of Birth

Fathers Name

Mother Name

Corresponds Address

Contact Number

Family Annual Income Family Annual Income Less than 100000/- More then 100000/ but Less than 300000/- More then 300000/-

Type of Scholarship obtained Type of Scholarship obtained Full Scholarship Half Scholarship No Scholarship

New Field New Field I am hereby informed that all the information are true & correct.