ADMISSION FORM

Fill Below Fields as per SSC Records

1.	Application For	:	*
2.	Name of the Student	:	*
3.	Date of Birth	:	*
4.	Marks of Identifications	:		1.*
				2.*
5.	Nationality	:	*
6.	Religion	:	*
7.	Caste	:	*
8.	Sub Caste	:	*
9.	Parent /Guaradion Name	:	*
10.	Occupation	:	*
11.	Annual Income of Father	:	*
12.	Annual Income of Mother	:	*
13.	Permanent Postal Address	:	*
14.	Mobile Number	:	*
15.	Adv. Coaching For	:	*
16.	Place of Admission	:	*
17.	Reference by	:	*
18.	Admitted by	:	*
19.	Relation with Student	:	*
20.	Examination Passed	:	*
21.	Medium of Exam	:	*