Admission Form - Diganta Vikas Residential School

Fill in the capital letters

Applicant Details

1. Applicant’s Name

Aadhar No.

2. Father’s Name

Aadhar No.

Mobile No.

Occupation

Address Street

Passport size photo

3. Mother’s Name

Aadhar No.

Address for Correspondence

i. At

ii. Po.

iii. Via

iv. P.S.

v. Dist.

vi. PIN

Personal Details

i.Date of Birth

ii. Gender

Male

Female

iii.Religion

iv. Hostels

Yes No

v.Nationality

vi.Category

vii. Height Weight

viii.Blood Group

ix.Class

x.City

How did you come to know about Diganta Vikash Residential School

Social Media

Website

Newspaper

Leaflet

Friend

Teacher

Choose your Admission Type

Local Guardian

Signature of the Parents/Guardians

Date: ________________

Signature of the Applicant

_____________________________

Application Form

DIGANTA VIKAS RESIDENTIAL SCHOOL BARIPADA-757002

Applicant Details

Address for Correspondence

Personal Details

How did you come to know about Diganta Vikash Residential School

Choose your Admission Type

Local Guardian