Online Registration *****Admission will be opened from 20-03-2019 onwards for all classes against Limited Seats ***** Personal Detail Name of Student: Father's Name: Mother's Name: Date of Birth: Date01020304050607080910111213141516171819202122232425262728293031 MonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Year2001200220032004200520062007200820092010201120122013201420152016 Gender: ---1. Male2. Female Email: Permanent Home Address: Town/Village: Post Office: Tehsil: City/District: State: ---ArunachalPradeshAssamBiharChhattisgarhGoaGujaratHaryanaHimachal PradeshJammu and KashmirJharkhandKarnatakaKeralaMadyaPradeshMaharashtraManipurMeghalayaMizoramNagalandOrissaPunjabRajasthanSikkimTamil NaduTripuraUttaranchalUttar PradeshWest BengalAndaman and Nicobar IslandsChandigarhDadar and Nagar HaveliDaman and DiuDelhiLakshadeep Country: 1. Indian2. Other Postal Code: Home Phone No (With STD CODE): Personal Mobile Number: Academic Detail Class To Which Admission Sought: ---LKGUKG01st02nd03rd04th05th06th07th08th09th10th10+1 (Medical)10+1(Non Medical)10+2 (Medical)10+2( Non Medical) Previous Examination Passed/Appeared: Not ApplicableLKGUKG01st02nd03rd04th05th06th07th08th09th10th10+1 (Medical)10+1(Non Medical)10+2 (Medical)10+2( Non Medical) Year of passing the previous examination: YearN/A2000200120022003200420052006200720082009201020112012201320142015201620172018 Name of school lastly attended: Marks obtained : Maximum Marks : Name of the Board from which class passed:---Not Admitted to Any Board / SchoolCBSE Board DelhiHP Board DharamsalaICSE BoardPunjab State BoardOther State Board Medium of instruction in previous class: ---1. English2. Hindi3. Other Name of the Game you participated: Extra Co-curricular Activities you participated: Financial Detail of Parents Mother Income: Father Income: Gross Income: Deceleration : I hereby certify that the information given in this form is complete and accurate. I agreed that candidature of my application will be canceled if I does not produce original documents to Admission Committee and do not agree to rules and regulations of Sanchetna Public Senior Secondary School.