Student's Information
(*) Marks are Mandatory
Academic Year 2019-2020 Board CBSE Medium English
Application No. Admission Class*
 
Application Date
Name*    
Nationality*   Religion*
 
 
Category *
 
Categoty Type *
Click Here If Minority  
Student Type*   Comapny Name(for Essarian Only) Employee Name
Gender*
 
Aadhar Card No
Middle Name Last Name*
Present School Details(if studying)
Name Address Contact No
E-mail    
Birth Details
Date of Birth *
 
DOB(in words)
Birth(Special)Mark
Age of Child Year
Month
Day
Place of Birth
Country *
State *
City/District *  
Address *  
Contact and Personal Details
    Present Address
Country *
State *
City/District *  
Address *   Pincode Mobile No*  
    Permanent Address
Country *
State *
City/District *  
Address *   Pincode Telephone(s)
Email *
 
Mother Tongue Blood Group*
Physically Challenged *
 
 
Skills & Interests
Is your child unduly afraid of something/ someone? please give details(If yes)
Is he unduly afraid of darkness ? Is he afraid of going to school ?
Is he afraid of meeting strangers ? Is he scared of heights ?
Is he scared of any particular animal? Is he uncomfortable in crowded place ?
Is he afraid of noise ? Is he unduley scared of doctors ?
Is he scared of anyone at/home school ?
Upload Photo
Parent's Information
Deatils of Parents
Father Mother
Name *    
Profession *    
Education Qualification *    
MobileNo *    
Address *
Pincode *
Aadhar Card No
Pan Card No*
Hobbies / Interests*
Click Here if mother address is same as father
Company *  
Department
Designation
Annual Income
For ESSAR Employees only
Employment No.    
Contact No.
Name of the Head of the Dept.
Recommendation of HR Department
Signature of HR Dept
Details of the Local Guardian
Name
Relation With Student
Address
Company
Contact Phone No
 
Miscellaneous Data
(Son/s) (Daughter/s)
No. of Children
School in which presently studying
Class in which presently studying
Have you applied for any other child's admission? (If yes)
Name of child(ren) and class(s)
Is yor child suffering from any medical aliment,physical or mental abnormality ?
If yes, give details