Registration Number *
Student's Name * First name1 Last name1 Father's Name * Firstname2 Lastname2 Mother's Name * First name3 Last name3 Admission in Class * --Select-- Nur. Class K.G. Class Ist Class IInd Class IIIrd Class IVth Class Vth Class Date of Birth * Gender * --Select-- Male Female Religion * Please Select Hindus Muslims Sikhs Christans Mobile Number * Address * Street Address Street Address 2 City State Zip code Emergency Contact Person Name * First name4 Last name4 Relationship to Students * Nationality * Mobile Number *