Name of Student in Full:*

Father's Name:*

Email:*

Mobile No:*

Parents Mobile Number:*

Date Of Birth:*

Gender:*

MaleFemale

Nationality:*

IndianOther

Aadharno:*

Category:*

GeneralSCSTOBC

Name & Address of the last attended School:*

Last School affiliated is:*

CBSCISCEState BoardOther

Result of Last Class (Attach copy of the Report Card)

Transfer Certificate No

Date of Issue

Course Offered:*

--Select Course--Sanik SchoolRIMCRMSNDA

Status:*

--Select Status--BoarderDay BoarderPrep. Class

Duration:*

--Select Duration--3 Months6 Months12 Months

Name & Address of the Local Guardian(if any):