| STUDENT'S NAME:- | %SFNAME% |
|---|---|
| DATE OF BIRTH:- | %DOB% (in words) %DOBinWord% |
| MOTHER'S NAME:- | %Mother% |
| FATHER'S NAME:- | %FATHERNAME% |
| 1.SC. | |
| 2.ST. | |
| 3.OBC | |
| 4.General |
| 1.Blind | |
| 2.Deaf | |
| 3.Handicapped | |
| 4.Dyslexic | |
| 5.Spastic |
| 1.Yes | |
| 2.No |
| ANNUAL INCOME OF THE PARENT:- | __________________________ | |
|---|---|---|
| ONLY CHILD OF THE PARENTS:- | YES/NO | |
| BLOOD GROUP:- |
| SUBJECT | |
|---|---|
| 1) English | |
| 2) Hindi | |
| 3) Mathematics | |
| 4) Science with Practical | |
| 5) Social Science | |
| 6) IT |
Kindly send Rs.230/- as registration fee for IX.
I have checked the above details along with spellings, date of birth and they are correct.
| PARENT'S SIGNATURE........................ | CANDIDATE'S SIGNATURE..................... | |
|---|---|---|
| Date:- | ||
| Mobile No. ................ | Email Id:- .....................................(Student) | |
| Student Aadhar No. ............................................... (Compulsory) | ||
| Parents' Aadhar No. .............................................. (Compulsory) |