NAME *
CURRENT SECTION
FATHER'S NAME AS PER CBSE X REGISTRATION *
MOTHER'S NAME AS PER CBSE X REGISTRATION *
SEX *
AREA IN WHICH CANDIDATE RESIDES *
CASTE CATEGORY OF STUDENT
DISABILITY STATUS as per your Counsellor's report attached for X registration. Please do not add a category, if proof, not yet submitted *
POSTAL ADDRESS FOR CORRESPONDENCE *
PIN CODE *
PREVIOUS YEAR MARKS OF CLASS IX, SECURED MARKS OUT OF MAXIMUM MARKS (600) *
MEDIUM OF EXAMINATION AT STATE LEVEL
MEDIUM OF EXAMINATION AT NCERT LEVEL
FATHER'S EDUCATION *
FATHER'S OCCUPATION *
MOTHER'S EDUCATION *
MOTHER'S OCCUPATION *
NO. OF FAMILY MEMBERS LIVING IN THE HOUSE *
NO OF BROTHERS *
NO OF SISTERS *
AT WHAT NO. IS THE STUDENT AMONG HIS/HER BROTHERS & SISTERS *
PARENTAL INCOME *
TELEPHONE NO. WITH STD CODE
EMAIL ADDRESS *
MOBILE NUMBER *
I hereby submit :The particulars given by him/ her/me in the application form has been verified and found in order. *