GIRIJYOTHI CMI PUBLIC SCHOOL
(Affiliated to CBSE, Delhi, No.930741) School Code 42243
Application Form
PUPIL'S DETAILS
Standard to which admission sought
*
Required
--Select--
LKG
UKG
1
2
3
4
5
6
7
8
9
10
11
12
Name
*
Required
Only Letters and white space are allowed
Date Of Birth
*
Required
Not valid
Aadhar No
Enter a valid 12 digit aadhar number
Date Of Birth in words
Only Letters and white space are allowed
Place Of Birth
*
Required
Only Letters and white space are allowed
Nationality
*
Required
Only Letters and white space are allowed
Taluk and District
*
Required
Only Letters white space , and / are allowed
Gender
*
Required
--Select--
Male
Female
Religion/Cast/Community
*
Required
Only Letters white space , and / are allowed
Photo
Only jpeg and png files are allowed
PUPIL'S HOME DETAILS
Home Address
*
Required
Only letters,digits,spaces and ' . - , ( ) are allowed
Office Address of Father
Only letters,digits,spaces and ' . - , ( ) are allowed
Name Of Father
*
Required
Only Letters and white space are allowed
Occupation Of Father
*
Required
Only Letters and white space are allowed
Father's Mobile No.
*
Required
Enter a valid Mobile(eg: +91 1234567890)
Father's E-Mail
*
Enter a valid email
Name Of Mother
*
Required
Only Letters and white space are allowed
Occupation Of Mother
*
Required
Only Letters and white space are allowed
Mother's Mobile No.
*
Required
Enter a valid Mobile
Mother's E-Mail
*
Enter a valid email
Annual income
*
Required
Not valid
Do You want transporatation facility
*
Required
--Select--
Yes
No