NAME OF THE CHILD (IN ENGLISH) *

DATE OF BIRTH *

PLACE OF BIRTH (VILLAGE & TOWN) *

RELIGION *

COMMUNITY *OCSTBCMDNCBCMBCSC-OthersOBCSCA

NATIONALITY *

NATIVE PLACE *

CURRENT RESIDENTIAL ADDRESS *

DISTANCE FROM THE SCHOOL (in kms) *

MOTHER TONGUE *

OTHER LANGUAGES SPOKEN *

GRADE *LKGUKGIst StandardIInd StandardIIIrd StandardIVth StandardVth Standard

BLOOD GROUP *

NAME OF THE SCHOOL PREVIOUSLY STUDIED

AADHAAR NUMBER

IDENTIFICATION MARK-1 *

IDENTIFICATION MARK-2 *

NAME OF THE FATHER (IN ENGLISH)*

FATHER'S EDUCATION QUALIFICATION *

OCCUPATION/DESIGNATION *

OFFICE ADDRESS *

MOBILE/LANDLINE *

NATIONALITY *

NATIVE PLACE *

CURRENT RESIDENTIAL ADDRESS *

EMAIL ID *

AADHAAR NUMBER*

ANNUAL INCOME*

SALARY CERTIFICATE OF FATHER

NAME OF THE MOTHER (IN ENGLISH) *

MOTHER'S EDUCATION QUALIFICATION *

OCCUPATION/DESIGNATION

OFFICE ADDRESS

MOBILE/LANDLINE *

NATIONALITY *

NATIVE PLACE *

CURRENT RESIDENTIAL ADDRESS *

EMAIL ID *

AADHAAR NUMBER*

ANNUAL INCOME

SALARY CERTIFICATE OF MOTHER