Admission

Session*:

Class*:

Full Name*:

Select Gender*:

MaleFemale

Father's Name*:

Mother's Name*:

Date of Birth*:

Age in Year & Month*:

Registration No of P.U Chandigarh (if Any):

Gardian's Name & Relation(if father is deceased)*:

Relation with Guardian*:

Father's / Guardian's Occupation*:

Designation*:

Permanent Address*:

Email:

Father Mobile Number*:

Correspondence Address*:

Valid Email ID*

Residence/Mother Mobile Number*:

Subjects To be Offered:

Month & Year of Passing*:

University/Board*:

Board Roll Number*:

Marks Obtained*:

Maximum Marks*:

Division*:

Percentage*:

School/College*:

Subjects Offered*:

Month & Year of Passing*:

University/Board*:

Board Roll Number*:

Marks Obtained*:

Maximum Marks*:

Division*:

Percentage*:

School/College*:

Subjects Offered*:

Month & Year of Passing:

University/Board:

Board Roll Number:

Marks Obtained:

Maximum Marks:

Division:

Percentage:

School/College:

Subjects Offered:

Month & Year of Passing:

University/Board:

Board Roll Number:

Marks Obtained:

Maximum Marks:

Division:

Percentage:

School/College:

Subjects Offered:

Month & Year of Passing:

University/Board:

Board Roll Number:

Marks Obtained:

Maximum Marks:

Division:

Percentage:

School/College:

Subjects Offered:

Month & Year of Passing:

University/Board:

Board Roll Number:

Marks Obtained:

Maximum Marks:

Division:

Percentage:

School/College:

Subjects Offered:

Participation in Sports : Game/NCC/NSS:

Participation in Sports in 10+2 only:

Participation in Co-Curricular Activities:

Have you ever been punished for misconduct of for unfair means?

YesNo

Do you belong to SC/BC./P.H./Single girl child (no male Sibling):

Whether you belong to minority?

YesNo

Will you bring Cycle/Scooter/Car? If so, give its number:

What do you wish to become?*:

Will you avail bus facility?

YesNo

House:

Previous Class:

Class Roll No:

Session:

Name of the Exam Passed:

Date of Declaration:

Date of Form Submission*: