Class to which admission is sought
Name of Student
Gender (Male/Female) MaleFemale
Date of Birth (Attach Proof)
Age as on 31st March of the year of admission
Blood Group
Nationality
Aadhar Number (Student)
Name of Father
Name of Mother
Father's & Mother's Occupation
Category (Defence/Civilian) DefCiv
Category GenSCSTOBC
Annual Income from all sources
Permanent address with PIN Code
Full Address for Correspondence with PIN Code
Contact Number (Mobile/Tele with STD Code)
E-mail ID
Name of School & Class attended attending/previously
Has he/she any medical/physical problems?
Centre opted for Entrance Test (Class V to IX) Centre opted for Entrance Test (Class V to IX)Dhaula Kuan (New Delhi)ChandimandirPuneJammuNehru Road (Lucknow Cantt)GuwahatiKolkataDagshaiJaipurBhopalBeasHissarClement Town (Dehradun) JodhpurBangaloreSecunderabadAhmedabadPithoragarh & Noida
Centre for Entrance Test (Class XI) Choice of Stream Centre for Entrance Test (Class XI) Choice of StreamNon-MedMedComHum
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