Admission Form
1 Student's Name
(To be filled in capital letters) 		Name Middle name Surname
2 Admission for class:
3 Date of birth:
(In words)
4 Cast Name: Cast Category: General OBC SC ST
5 Information about child:
Sex Eye Sight If he/she is suffering form any disease Does he/she speaks English language Any Oother
Male Female
6 Unique ID numbers: (please enclose photocopy of the following documents)
Aadhar Card No Family SSM ID Number Student SSSM ID Number
7 Name of the institution before joining this isntitution:
8 Address (Res):
9 Contact Nos: Mob1: Mob2:
10 Bank Details of the child (If any):
Bank Name Account Holder Anme Account Number IFSC code of the Bank
11 Information about parent:
Parent Name Qualification Occupation Yearly Income
Father
Mother
12 Name of your children already attending this institution:
13 Enclosed:
Birth Certificate T.C. Original Marksheet
Aadhar Card SSSM ID Caste certificate
15 Declaration to be signed by Parent:
I hereby declare that all statement made in this form are true. I clearly understand all rules and regulations of your college and will abide by the same. I have no objection if my child is taught Bible stories and scriptures.
15 Name and Date of Birth of the above child is true to my knowledge. I will not change it in coming future.
E-mail ID:
Date : 06-10-2024