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Basic Detail
1. Branch:
Select Branch
Daffodils Public School, Mirzapur
Daffodils Public School Narghat Mirzapur
Daffodils Public School Sankat Mochan Mirzapur
2. Session:
Select Session
2021-2022
2022-2023
3. Class:
Nursery
LKG
UKG
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
11th
4. Subject 1:
Subject 2:
Subject 3:
Subject 4:
Subject 5:
Subject 6:
Hostal Accommodation:
YES
NO
Student Detail
5. Name Of the Child in Full :
6. Gender:
Select Gender
Male
Female
7. Date of Birth:
(dd/mm/yyyy)
*
8. Adhaar No:
9. Blood Group of the Child:
Select Blood Group
A-positive (A+)
A-negative (A-)
B-positive (B+)
B-negative (B-)
AB-positive (AB+)
AB-negative (AB-)
O-positive (O+)
O-negative (O-)
10. Do you Belong to Gen/OBC/SC/ST/EWS:
Select Category
General
OBC
SC
ST
EWS
11. SG Child:
YES
NO
12. Physical Disabled:
YES
NO
Father's Detail
12. Father's Name:
13. Father Occupation:
14. Permanent Address:
15. Name of Office with Address and Contact No:
16. Full Residential Address with Contact No :
17. Annual Income:
18. Father Adhaar No :
19. Name & Address Local Guardian (if any):
Mother's Detail
20. Mother's Name:
21. Mother Occupation:
22. Permanent Address:
23. Name of Office with Address and Contact No:
24. Full Residential Address with Contact No :
25. Annual Income:
26. Mother Adhaar No :
Previous School Detail
27. Name & Address the School Last Attended with Class :
28. Whether Last School was CBSE Affiliated :
29. If,the Last School was not Affiliated with CBSE, Specify Name of the Board :
30. Result Of Last Examination :
31. Result Of Last Examination Percentage :
32. Whether the Tranfer Certificate is Attached :
YES
NO
33. Date Of Transfer Certificate :
(dd/mm/yyyy)
34. Mother Tongue :
35. Home Town :
Student Photo
36. Photos :
Declaration By the Parents
I hereby declear that the above information furnished by me is currect to the best of my knowledge & belief. I shall abide by the Rule of the Vidyalaya.