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.