M.G.M.CO-ED.HR.SEC. SCHOOL

Class to which admission is sought *

Personal Details

Student Name (As per Birth Certificate) *

Gender *

Date of Birth *

Date of Birth in Words

Student ID Number (Samagra ID)

Student Permanent Education Number (UDISE PEN)

Aadhaar Number *

Record Access Password * Create a password of at least 10 characters. You will need it with the student's Aadhaar number and date of birth to access this record.

Confirm Record Access Password *

Bank Name

Student / Parent Account Number

IFSC Code

Parents / Guardian Details

Mother Name (As per Student Birth Certificate) *

Father / Guardian Name (As per Student Birth Certificate)*

Mother Qualification

Father / Guardian Qualification

Mother Residential Address

Father / Guardian Residential Address

Mother Occupation

Father / Guardian Occupation

Mother Official Address

Father / Guardian Official Address

Mother Mobile

Father / Guardian Mobile

Mother Annual Income

Father / Guardian Annual Income

Additional Information

Single Girl Child *

Specially Abled (Divyang) *

Belonging to EWS *

Income Certificate Number

Caste Certificate Number

Religion

Category *

Previous School Details

Name & Address of Last School

Class Last Attended (Year)

Last School Board

Transfer Certificate Number

Transfer Certificate Date of Issue

Result of Last Class (Attach Marksheet)

Subject	Maximum Marks	Marks Obtained	% of Marks	Remark

Scholarship

Applied for any scholarship?

Scholarship Name

Scholarship Number

Scholarship Amount

Scholarship Received Date

Upload Documents

Each document must be 10 MB or smaller. The total size of all uploads must not exceed 40 MB. Accepted formats: JPG, PNG, PDF.

Passport-size Student Photo *

Birth Certificate *

Aadhaar Card *

Transfer Certificate

Last Class Marksheet

Income Certificate

Category Certificate

Declaration: I hereby certify that the information given above is correct.

Name & Signature of Parent / Guardian

Relation with Candidate

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