Online Registration

Students Personal Detail

Name of Student (As per Birth certificate or SLC record) :

Father's Name (As per Birth certificate or SLC record) :

Mother's Name (As per Birth certificate or SLC record) :

Date of Birth (As per Birth certificate or SLC record) : Date01020304050607080910111213141516171819202122232425262728293031MonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberYear2001200220032004200520062007200820092010201120122013201420152016201720182019202020212022

Gender: —Please choose an option—MaleFemale

Email:

Permanent Home Address:

Town/Village:

Post Office:

Tehsil:

City/District:

State: —Please choose an option—ArunachalPradeshAssamBiharChhattisgarhGoaGujaratHaryanaHimachal PradeshJammu and KashmirJharkhandKarnatakaKeralaMadyaPradeshMaharashtraManipurMeghalayaMizoramNagalandOrissaPunjabRajasthanSikkimTamil NaduTripuraUttaranchalUttar PradeshWest BengalAndaman and Nicobar IslandsChandigarhDadar and Nagar HaveliDaman and DiuDelhiLakshadeep

Country:IndianOther

Postal Code:

Parents Mobile Number (WhatsApp Number) :

General Mobile Number (If Any) :

Academic Detail

Class To Which Admission Sought: —Please choose an option—NURLKGUKG01st02nd03rd04th05th06th07th08th09th10th10+1 (Medical)10+1(Non Medical)10+1(Combined)10+2 (Medical)10+2( Non Medical)10+2(Combined)

Previous Examination Passed/Appeared: Not ApplicableLKGUKG01st02nd03rd04th05th06th07th08th09th10th10+1 (Medical)10+1(Non Medical)

Year of passing the previous examination: YearN/A20062007200820092010201120122013201420152016201720182019202020212022202320242025

Name of school lastly attended:

Marks obtained :

Maximum Marks :

Name of the Board from which class passed:—Please choose an option—Not Admitted to Any Board / SchoolCBSE Board DelhiHP Board DharamsalaICSE BoardPunjab State BoardOther State Board

Medium of instruction in previous class:—Please choose an option—1. English2. Hindi3. Other

Name of the Game you participated:

Extra Co-curricular Activities you participated:

Financial Detail of Parents

Mother Income:

Father Income:

Gross Income:

---------Upload Files---------

1. Upload Birth Certificate/ School Leaving Certificate/ Transfer Certificate in doc/docx/pdf format, size:600kb

2. Upload students AAdhaar Card copy in doc/docx/jpg/png format, size:400kb (Optional)

Deceleration : 1. I hereby certify that the information given in this form is complete and accurate. I agreed that candidature of my application will be canceled if I does not produce original documents to Admission Committee and do not agree to rules and regulations of Sanchetna Public Senior Secondary School.