Registered Mobile No.
Email id:
First Name
Middle Name
Last Name
Gender
Nationality
Date of Birth
Blood Group
Cast
Mother Tongue
Where Belong to Minority Community?
Chronic/serious Illness,if any:
Where the Applicant a Single Girl Child of the Parent?
General
Plot/House No/At
Post
Disrict
Distance From Institute(in KMs
Locality
State
Pin
Permanent Address is same as Present address
Name
Qualification
Occupation
Designation
Organization
Office Address
Annual Income(₹)
Tel No (Res)
Tel No
Email
Adhar Number
(1) I/ We, hereby certify that the above information is correct to the best of my/our knowledge and belief. If any information is found to be contrary to the facts, the admission of my/our ward may be cancelled at any stage.
(2) Further, I/We fully understand that filling up this Registration Form does not confirm the admission of the child.
(3) I/We declare that I/We am/are in a position to pay the prescribed fees as finalized by the Institute from time to time.
(4) The name & date of birth of my/our ward as spelt out is correct and I/We shall not request for change at a later stage.
(5) I/We hereby certify that my/our ward and myself/ourself shall follow all the rules, regulations and procedures as laid down by the Institute from time to time.
(6) I/We understand that the decision of the Management of the Institute shall be final & binding on me/us.