Registration Form Student Name Gender Select Gender Male Female Date Of Birth Date 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Select Month 01 02 03 04 05 06 07 08 09 10 11 12 Select Year 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 Blood Group Select Blood Group A+ A- B+ B- O+ O- AB+ AB- Parent Name Date of Birth (in word) Category Select Category Gen OBC ST/SC Other For Class/Stream 11th Nationality Select one India Nepal Pakistan Other Religion select one Agnostic Atheist Baha'i Buddhism Cao Dai Chinese traditional religion Christianity Hinduism Islam Jainism Juche Judaism Neo-Paganism Nonreligious Rastafarianism Secular Shinto Sikhism Spiritism Tenrikyo Unitarian-Universalism Zoroastrianism primal-indigenous Other Science Stream (PCM) :- Select 5th & 6th Subject :- Select subject IP(5th),Physical Education(6th) Economics(5th),Physical Education(6th) Economics(5th), Information Technology(6th) Hindi(5th), Information Technology(6th) Science Stream (PCB) :- Select 5th & 6th Subject :- Select subject Hindi Core(5th), Physical Education(6th) Economics(5th), Physical Education(6th) Economics(5th), Information Technology(6th) Commerce Stream :- Select 5th & 6th Subject :- Select subject Applied Maths(5th), Physical Education(6th) Hindi Core(5th), Physical Education(6th) Applied Maths(5th), Information Technology(6th) Arts Stream :- If Sibling in the same school,give detail of Sibling :- Add More Fields Father's Name Quaification Select Matriculation Intermediate Graduate Post Graduate None Occupation Select Advocate Service Other Goverment Servant Select Yes No Designation Office Address Mobile No.1 Mobile No.2 Bus Facility Select Yes No Present Address City State Nation Select India Pakistan Nepal Other Pin Code Phone No. Mobile No.1 Mobile No.2 Email Id Year of passing class X. Select 2019 2020 Last school name address Mode of payment Cash Mother's Name Quaification Select Matriculation Intermediate Graduate Post Graduate None Occupation Select Advocate Service Other Goverment Servant Select Yes No Designation Office Address Mobile No.1 Mobile No.2 Present Address City State Nation Select India Pakistan Nepal Other Phone No. Mobile No.1 Mobile No.2 Dist Pin code Adhar Card Number Board Roll No. Name of Board Select CBSE JAC Other
