Online Admission Form

SELECT CLASS *

STUDENT NAME *

DATE OF BIRTH (IN FIG) *

DATE OF BIRTH (IN WORDS) *

GENDER *MALEFEMALETRANSGENDER

SPECIAL CATEGORY *BPLNON-BPL

PHYSICALLY DISABLED *YESNO

CHILD OF WIDOW/DIVORCEE/SERIOUS ILL PARENTS *YESNO

FATHER NAME *

MOTHER NAME *

OCCUPATION OF FATHER/MOTHER *

ANNUAL INCOME *

AADHAR NUMBER *

MOBILE NUMBER *

Address *

BLOCK/CITY *

DISTRICT *

State *

PIN CODE

SELECT OPTIONAL SUBJECT *SCIENCE BIOLOGYSCIENCE MATHS

OPTED FOR ADDITIONAL MATHS *YESNO

OPTED FOR ADDITIONAL BIOLOGY *YESNO

NAME OF THE PREVIOUS SCHOOL *

PREVIOUS SCHOOL AFFILIATED TO *CBSERBSEOTHER

MARKS OBTAINED IN SCIENCE *

MARKS OBTAINED IN MATHS *

DIVISION IN PREVIOUS CLASS *FIRSTSECONDTHIRD

PERCENTAGE IN PREVIOUS CLASS *

ATTACH PASSPORT SIZE PHOTOGRAPH *

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image must be jpeg format and below 100kb

ATTACH CLASS 10th MARKSHEET *

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DECLARATION *I have read the Instructions to fill the form.I hereby declare that all information furnished in this application are true, complete and correct to the best of my knowledge and belief. In the event of any information being found false or incorrect, or ineligibility being detected before or after the examination, or even after the admission at a later stage, I fully own the responsibility of my candidature for the course applied for, being treated as cancelled and punitive action may be initiated against me.I fully understand that the school, on accepting the registration of my ward is not in any way bound to Grant Admission, as the admission is purely based on availability of seats and on merit. I also understand that the decision of the Admission Committee regarding admission will be final and binding on me.please select all check box to submit