Mobile No *

Mail Id

Student Name: *

Class Applied For:

Date of Birth (As Per Aadhar): *

Age as on(01-06-2025) *

Father's Name: *

Mother's Name:

Address:

Pincode:

Latitude: *

Longitude: *

Do you wish to avail the school bus facility?

No Yes

Boarding Point: *

Do You have any Reference?

No Yes