Registration For Admission (Session 2021)

Applying For

Preferred Medium

First Language

Candidate's Primary Details

Photo

Signature

Name

Gender

Category

Date of Birth

Mother Tongue

Nationality

Blood Group

Candidate's Secondary Details

Stays With:

Height in cm (e.g. 140)

Weight in kg (e.g. 40)

Identification Mark

Accidents, if any (with year)

If counselled for conduct problems (Year)

Any serious ailment (in detail, with year):

If suffers from any chronic disease (Give details)

Father's/Guardian's Information

Name

Contact Number/Phone

Qualification

Occupation

Office Name

Office Address

Email

Annual Income (in rupees)

Relationship with Candidate

Mother's Information

Name

Contact Number/Phone

Qualification

Occupation

Office Name

Office Address

Email

Annual Income (in rupees)

Address of Correspondence

Contact Number/Phone (Will be used for communication)

Address

District

State

Pin

Country

Email (Will be used for communication)

Permanent Address

Contact Number/Phone

Address

District

State

Pin

Country

Email

Candidate's Academic Details

Now studying in:

Institution

Board

Status of the Institution

Medium

Co-Curricular activities, if any

Result of the Last Examination

Last Examination passed with year (e.g. Annual exam of class IV, 2019 etc.)

Percentage of marks obtained in the Last Examination

Subject

Percentage

Documents to be Uploaded (JPG ONLY)

Aadhar Card/Aadhar Acknowledgement

Birth Certificate

Marksheet of the Last Examination

Caste Certificate, If Applicable

Full Signature of Guardian

Declaration

Student's Declaration: I have read the prospectus, general rules and regulations of the Vidyapith. I declare that I shall abide by the rules as laid down and such other rules as the Vidyapith authorities will frame from time to time. In case of any breach of discipline by me, I shall be liable to accept the decision taken by the Vidyapith authorities.

Date: 30-09-2020

Signature of Candidate

Guardian's Declaration: I have read the general rules and regulations of the Vidyapith as given in the Prospectus and I am satisfied that they are good and necessary for the education of my ward. The statements made here are true to the best of my knowledge and belief. I shall cooperate with the Vidyapith authorities in every respect to enable them to educate my ward in accordance with the prevalent rules and regulations or such others as may be framed from time to time. If I withdraw my ward from the Vidyapith before the end of an academic year, I shall pay compensation for the remaining part of that year.

Date: 30-09-2020

Father/Mother/Guardian

All columns are mandatory. If a certain column is not applicable for you, please write N/A.
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