Student's Information
(*) Marks are Mandatory
Academic Year 2021-2022 Board CBSE Medium English
Application No. Admission Class*
Application Date
Nationality*   Religion*
Category *
Categoty Type *
Click Here If Minority  
Student Type*   Form No. (Printed on Form Received from School) Employee Comapny Name(for Nayara Only)
Aadhar Card No UDISE No
Middle Name Last Name*
Present School Details(if studying)
Name Address Contact No
Birth Details
Date of Birth *
DOB(in words)
Age of Child Year
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 ?
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Parent's Information
Deatils of Parents
Father Mother
Name *    
Profession *    
Education Qualification *    
MobileNo *      
Office Address *
Pincode *
Aadhar Card No
Hobbies / Interests*
Pan Card No*
Click Here if mother address is same as father
Company *  
Annual Income
For NAYARA 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
Relation With Student
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