Gurukul Prathamik Vidyalay

Admission Form - CHORPAHARI BRANCH

Application Details

Session (Admission Year) *

Date of Admission *

Admission for Class *

Student's Information

Name of the Student *

Gender *

Religion *

Date of Birth (DOB) *

DOB Registration No.

Aadhaar Card No.

Category *

Nationality *

BPL *

if yes BPL No.

Identification Mark

Residential Address

Village / Town *

Post Office *

Police Station *

Block / Municipality *

Panchayat *

District *

Pin Code *

Check if Residential Address & Correspondence Address are same

Correspondence Address

Village / Town *

Post Office *

Police Station *

Block / Municipality *

Panchayat *

District *

Pin Code *

Distance & Transport Information

Distance from school (in Kms) *

School Transport Required *

Information

Father's Name *

Education Qualification (Father) *

Occupation (Father) *

Email (Father)

Phone No. (Father) *

Whatsapp No. (Father) *

Mother's Name *

Education Qualification (Mother) *

Occupation (Mother) *

Email (Mother)

Phone No. (Mother) *

Whatsapp No. (Mother) *

If Parents are not present

Guardian's Name

Occupation

Relation with Student

Qualification

Annual Income

Phone No.

Whatsapp No.

Email ID

Student's Health Information

Please Provide Information if your child has health problem requiring special attention.