Student Details

Class to which Admission is sought ^* :

Full Name of Your Child ^* :

Date of Birth ^* :

Date of Birth in Words^* :

Category ^* :

Gender^* :

Aadhar No. :

Do you have any disabilities?^* :

Parent Details

Mother Name ^* :

Father Name^* :

Guardian Name :

Mother Occupation ^* :

Father Occupation^* :

Guardian Occupation :

Mother/Father/Guardian Phone No. : :

Mobile No.^* :

Whatsapp No. :

Mother Aadhar No. : ^* :

Father Aadhar No.^* :

Guardian Aadhar No. :

Mother/Father Total Income ^* :

Current Residential Address. (AS PER AADHAR ONLY)^* :

School Preference

Preference 1^* :

Preference 2^* :

Preference 3^* :

Distance From School ^* :

Documents

Mother Aadhar^* :

Father Aadhar^* :

Guardian’s Aadhar Card :

(if applicable)

Child’s Aadhar card (if available) :

Child Photo^* :

SC/ST/OBC Certificate^* :

(if applicable)

Birth Certificate^* :

Authorized By^* :

Income Certificate^* :

Authorized By^* :

Income Proof Issue Date ^* :

Disability Certificate :

Authorized By :

Disability Percentage (%) :

I have no objection to the lottery process done by the department through RTE portal.

All the documents being submitted by me are true to my knowledge. If any false documents are found, the department can cancel my application.