A. Student Particulars

Student Name (in BLOCK CAPITALS) *

Student Mobile No. *

Student Email ID *

Date of Birth *

Student Photograph * jpg/png, max 1MB

Student ID Proof * Aadhar / Voter / Driving / Passport / School ID

B. Parent / Family

Father's Name *

Father's Occupation *

Father's Mobile No. *

Mother's Name *

Mother's Mobile No. *

Details of Sibling(s)

optional

C. Address

Current Address *

Permanent Address *

Village / Mohalla *

Post Office *

Panchayat / Ward

Tehsil *

District *

State *

PIN Code *

6 digits

D. Local Guardian

Local Guardian Name *

Relation with Student

Guardian Address *

Guardian Mobile No. *

Guardian Telephone No.

E. Education

Class Currently Studying *

University / College / Faculty *

Last Exam Passed *

Stream

Marks / Percentage

Special Interest / Sports

F. Surety Certificate

Surety Occupation / Service Type *

Service / Business / Other

Surety Designation

Surety Department / Office Address

Plot No.

House Name

Street / Lane / Road

Mohalla

Permanent Village

Post

District

Declaration 1: Will cooperate with management *

I will cooperate with the management in every action taken against indiscipline of the student by the institution.

Declaration 2: Will appear on call, liable for dues *

I will immediately appear on the institution's call. I will be bound by the dues of the student, failing which the management will have prior right to take legal action against me.

G. Signatures

Applicant (Student) Signature *

Type your full name in CAPITALS

Father / Guardian Signature *

Type full name in CAPITALS

Terms & Conditions

Admission will be based on merit & criteria decided by admission committee.
Submission of form is not a guarantee for admission.
All those whose admission is confirmed have to submit certain affidavits by students, parents, local guardian in addition to medical certificate of student.

I have read and accept the Terms & Conditions above. *

Form Fee: ₹200 — payable on the next page via UPI QR.

Admission Form — Admissions 2026-2027