BVBPONNANI

Student

Student Admission Form - Step 1 of 3

Class of Admission*

Academic Year*

Date*

Student's Personal Details

First Name*

Middle Name

Last Name*

Date of birth*

Age

Aadhaar No.

Gender*

Male Female

Country

Mother tongue

Religion

Caste

Previous School Details

Name of Previous school *

Board*

Grade/mark obtained*

Higher Secondary*

Yes

Name of Exam *

Month & Year *

Roll No/Register No*

Number of Chances*

TC No.*

TC Date*

Identification Mark1*

Identification Mark2*

Subjects	Marks(for CBSC Students)	Marks/Grade (for SSLC/ICSE Students)
English
Hindi
Sanskrit/Malayalam
Science
Social Science
Maths
Physics
Biology
Chemistry
Physical Education
TOTAL

Permanent address

Address1*

Address2

Pin code

State

Res. phone no

Email*

Temporary address

Same as above

Address1

Address2

Pin code

State

Res. phone no

Email*

Parent /guardian details

Mother name*

Occupation

Mobile no*

Email*

Father name*

Occupation

Mobile no*

Email*

Guardian name

Relationship with student

Mobile no

Document submitted

Yes No

(if yes)

Original leaving/transfer certificate

Original mark list

Contact certificate

Supporting documents if the candidate belonging to SC/ST/OBC

Birth certificate

Parents income certificate

Duplicate mark list

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Student

Student's Personal Details

Previous School Details

Permanent address

Temporary address

Parent /guardian details

Document submitted

Upload Documents

File type Images only(jpg,png,gif)

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