Student’s Name: Father’s Name: Mother’s Name: Date of Birth: Address: Village: P.O.: P.S.: PIN: District: State: School Name: Class: Mobile No.: WhatsApp No.: E-mail ID.: Form Submission Date: Passport Size Photo (Upload): Payment Receipt (Upload): I hereby declare that the entries made by me in the Application Form are complete and true to the best of my knowledge. I understand the form can be cancelled if found incorrect. Guardian Signature (Type Name): Student Signature (Type Name):
