Personal Information
(Please fill the information as given in your Class X admit Card)

Student's Name:

Father's Name:

Mother's Name:

Gender:

Male Female

Date of Birth
(DD/MM/YYYY)

Correspondence Address:

City

State:

Pincode:

Permanent Address:

click here if Permanent address is same as correspondence address

City

State:

Pincode:

Nationality:

Caste:

GEN

OBC

Others

Contact No:

Alternate Contact No.

e-mail address: