choithramschoolnorthcampus.org
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URL:
https://choithramschoolnorthcampus.org/admission/
Submission: On October 27 via api from US — Scanned from CA
Submission: On October 27 via api from US — Scanned from CA
Form analysis 1 forms found in the DOM
POST
<form action="" id="user_login_frm" enctype="multipart/form-data" method="post" novalidate="novalidate">
<input class="input--style-5" type="hidden" name="language" value="EN" readonly="">
<div class="alert alert-success">
<div class="row">
<div class="col-sm-12">
<div class="form-group">
<div> <select name="class_admission" class="form-control" id="class" onchange="if (!window.__cfRLUnblockHandlers) return false; show()">
<option value="">Select Class</option>
<option value="Nursery">Nursery</option>
<option value="Jr.Montessori">Jr.Montessori</option>
<option value="Sr.Montessori">Sr.Montessori</option>
<option value="I">I</option>
<option value="II">II</option>
<option value="III">III</option>
<option value="IV">IV</option>
<option value="V">V</option>
</select></div>
</div>
</div>
</div>
</div>
<h4> Student's Details </h4>
<div class="row">
<div class="col-sm-4">
<div class="form-group">
<input class="form-control" type="text" name="first_name" placeholder="First Name" maxlength="32">
</div>
</div>
<div class="col-sm-4">
<div class="form-group">
<input class="form-control" type="text" name="last_name" placeholder="Last Name" maxlength="22">
</div>
</div>
<div class="col-sm-4">
<div class="form-group"> Gender: <input type="radio" name="gender" value="Male"> Male <input type="radio" name="gender" value="Female"> Female </div>
</div>
</div>
<style>
button.Zebra_DatePicker_Icon {
background: url(images/icons.png) center top no-repeat;
border: none;
cursor: pointer;
display: block;
height: 16px;
line-height: 0;
padding: 0;
position: absolute;
text-indent: -9000px;
width: 16px
}
</style>
<div class="row">
<div class="col-sm-4">
<div class="form-group">
<p id="s"></p>
<!-- Date of Birth<input class="form-control stu_dob" type="text" name='stu_dob' id="stu_dob" readonly>!-->
<!--Date of Birth <input id='datepicker-dates-interval' type='text' name='stu_dob' class='form-control' readonly>!-->
</div>
</div>
<script type="text/javascript">
function show() {
var e = document.getElementById('class').value;
if (e == 'Nursery') {
document.getElementById('s').innerHTML =
"Date of Birth<input type='text' id='datepicker' name='stu_dob' class='form-control' readonly> <b>Eligibility for admission in Nursery for the session 2025-26 : Born Between 01.04.2021 to 31.03.2022.</b>";
$('#datepicker').Zebra_DatePicker({
direction: ['2021-04-01', '2022-03-31']
});
} else if (e == 'Jr.Montessori') {
document.getElementById('s').innerHTML =
"Date of Birth<input type='text' id='datepicker' name='stu_dob' class='form-control' readonly> <input type='text' name='last_school' class='form-control' placeholder='Last School Attend'> <input type='text' name='board' class='form-control' placeholder='Board Name'> <input type='text' name='marks' class='form-control' placeholder='Marks / Grades'> <input type='text' class='form-control' name='year' placeholder='Year'> <b>Eligibility for admission in Jr Montessori for the session 2025-26 : Born Between 01.04.2020 - 31-03-2021.</b>";
$('#datepicker').Zebra_DatePicker({
direction: ['2020-04-01', '2021-03-31']
});
} else if (e == 'Sr.Montessori') {
document.getElementById('s').innerHTML =
"Date of Birth<input type='text' id='datepicker' name='stu_dob' class='form-control' readonly> <input type='text' name='last_school' class='form-control' placeholder='Last School Attend'> <input type='text' name='board' class='form-control' placeholder='Board Name'> <input type='text' name='marks' class='form-control' placeholder='Marks / Grades'> <input type='text' class='form-control' name='year' placeholder='Year'> <b>Eligibility for admission in Sr.Montessori for the session 2025-26 : Born Between 01.04.2019 - 31-03-2020.</b>";
$('#datepicker').Zebra_DatePicker({
direction: ['2019-04-01', '2020-03-31']
});
} else if (e == 'I') {
document.getElementById('s').innerHTML =
"Date of Birth<input type='text' id='datepicker' name='stu_dob' class='form-control' readonly> <input type='text' name='last_school' class='form-control' placeholder='Last School Attend'> <input type='text' name='board' class='form-control' placeholder='Board Name'> <input type='text' name='marks' class='form-control' placeholder='Marks / Grades'> <input type='text' class='form-control' name='year' placeholder='Year'> <b>Eligibility for admission in I for the session 2025-26 : Born Between 01.04.2018 - 31-03-2019.</b>";
$('#datepicker').Zebra_DatePicker({
direction: ['2018-04-01', '2019-03-31']
});
} else if (e == 'II' || e == 'III' || e == 'IV' || e == 'V') {
document.getElementById('s').innerHTML =
"Date of Birth<input type='text' id='datepicker' name='stu_dob' class='form-control' readonly> <input type='text' name='last_school' class='form-control' placeholder='Last School Attend'> <input type='text' name='board' class='form-control' placeholder='Board'> <input type='text' name='marks' class='form-control' placeholder='Marks / Grades'> <input type='text' class='form-control' name='year' placeholder='Year'>";
$('#datepicker').Zebra_DatePicker({
direction: ['2012-04-01', '2019-04-01']
});
} else {
document.getElementById('s').innerHTML = '';
}
}
</script>
<div class="col-sm-4">
<div class="form-group">
<select name="religion" style="width:100%" onchange="if (!window.__cfRLUnblockHandlers) return false; Checkreligion(this.value);">
<option value="">-Religion -</option>
<option value="BUDDHISM">BUDDHISM</option>
<option value="CHRISTIAN">CHRISTIAN</option>
<option value="HINDU">HINDU</option>
<option value="JAIN">JAIN</option>
<option value="MUSLIM">MUSLIM</option>
<option value="PARSI">PARSI</option>
<option value="SIKH">SIKH</option>
<option value="OTHER">OTHER</option>
</select>
<input class="form-control" type="text" name="religion_other" id="religion" style="display:none;width:100%" placeholder="Please specify..." maxlength="30">
</div>
</div>
<div class="col-sm-4">
<div class="form-group">
<select name="category" style="width:100%">
<option value="">- Category -</option>
<option value="GEN">GEN</option>
<option value="OBC">OBC</option>
<option value="ST">ST</option>
<option value="SC">SC</option>
</select>
</div>
</div>
<div class="col-sm-4">
<div class="form-group">
<input class="form-control" type="text" name="caste" placeholder="Caste" style="width:100%">
</div>
</div>
</div>
<div class="clearfix"></div>
<h4>Father's Details </h4>
<div class="row">
<div class="col-sm-4">
<div class="form-group">
<input class="form-control" type="text" name="father_first_name" placeholder="First Name" maxlength="30">
</div>
</div>
<div class="col-sm-4">
<div class="form-group">
<input class="form-control" type="text" name="father_last_name" placeholder="Last Name" maxlength="20">
</div>
</div>
<div class="col-sm-4">
<div class="form-group">
<input class="form-control" type="text" onkeypress="if (!window.__cfRLUnblockHandlers) return false; return isNumberKey(event)" name="father_mobile" maxlength="10" placeholder="Mobile No." id="father_mobile">
<span id="father_mobile_no_error" class="error"></span>
</div>
</div>
</div>
<div class="row">
<div class="col-sm-4">
<div class="form-group">
<select name="father_edu" onchange="if (!window.__cfRLUnblockHandlers) return false; Checkoccupation(this.value);" style="width:100%">
<option value="">Education</option>
<option value="GRADUATE">GRADUATE</option>
<option value="POST-GRADUATE">POST-GRADUATE</option>
<option value="PROFESSIONAL">PROFESSIONAL</option>
<option value="OTHER">OTHER</option>
</select>
<input class="form-control" type="text" name="father_edu_other" id="occupation" style="display:none;widh:100%" placeholder="Please specify..." maxlength="30">
</div>
</div>
<div class="col-sm-4">
<div class="form-group">
<select name="father_occupation" onchange="if (!window.__cfRLUnblockHandlers) return false; Checkoccupation2(this.value);" style="width:100%">
<option value="">Occupation</option>
<option value="SERVICE">SERVICE</option>
<option value="BUSINESS">BUSINESS</option>
<option value="SELFEMPLOYED">SELF EMPLOYED </option>
<option value="OTHER">OTHER</option>
</select>
<input class="form-control" type="text" name="father_occupation_other" id="occupation2" style="display:none;width:100%" placeholder="Please specify..." maxlength="35">
</div>
</div>
<div class="col-sm-4">
<div class="form-group">
<input class="form-control" type="text" onkeypress="if (!window.__cfRLUnblockHandlers) return false; return isNumberKey(event)" name="father_office_phone" placeholder="Office Phone No.">
</div>
</div>
</div>
<div class="row">
<div class="col-sm-8">
<div class="form-group">
<input class="form-control" type="email" name="father_email" placeholder="Email Address" maxlength="50">
<span id="father_email_address_error" class="error"></span>
</div>
</div>
</div>
<h5> Last School Attended </h5>
<div class="row">
<div class="col-sm-1">
<div class="form-group"> 1. </div>
</div>
<div class="col-sm-5">
<div class="form-group">
<input class="form-control" type="text" name="father_school_name" placeholder="School" maxlength="40">
</div>
</div>
<div class="col-sm-3">
<div class="form-group">
<input class="form-control" type="text" name="father_school_city_name" placeholder="City" maxlength="30">
</div>
</div>
<div class="col-sm-3">
<div class="form-group">
<input class="form-control" type="text" name="father_school_year" placeholder="Yr." maxlength="4">
</div>
</div>
</div>
<h5> Last College / Institute Attended </h5>
<div class="row">
<div class="col-sm-1">
<div class="form-group"> 1. </div>
</div>
<div class="col-sm-5">
<div class="form-group">
<input class="form-control" type="text" name="father_college_name" placeholder="College" maxlength="40">
</div>
</div>
<div class="col-sm-3">
<div class="form-group">
<input class="form-control" type="text" name="father_college_city_name" placeholder="City" maxlength="30">
</div>
</div>
<div class="col-sm-3">
<div class="form-group">
<input class="form-control" type="text" name="father_college_year" placeholder="Yr." maxlength="4">
</div>
</div>
</div>
<div class="clearfix"></div>
<h4>Mother's Details </h4>
<div class="row">
<div class="col-sm-4">
<div class="form-group">
<input class="form-control" type="text" name="mother_first_name" placeholder="First Name" maxlength="30">
</div>
</div>
<div class="col-sm-4">
<div class="form-group">
<input class="form-control" type="text" name="mother_last_name" placeholder="Last Name" maxlength="20">
</div>
</div>
<div class="col-sm-4">
<div class="form-group">
<input class="form-control" type="text" onkeypress="if (!window.__cfRLUnblockHandlers) return false; return isNumberKey(event)" name="mother_mobile" maxlength="10" placeholder="Mobile No." id="mother_mobile">
</div>
</div>
</div>
<div class="row">
<div class="col-sm-4">
<div class="form-group">
<select name="mother_edu" onchange="if (!window.__cfRLUnblockHandlers) return false; Checkoccupation1(this.value);" style="width:100%">
<option value="">Education</option>
<option value="GRADUATE">GRADUATE</option>
<option value="POST-GRADUATE">POST-GRADUATE</option>
<option value="PROFESSIONAL">PROFESSIONAL</option>
<option value="OTHER">OTHER</option>
</select>
<input class="form-control" type="text" name="mother_edu_other" id="occupation1" maxlength="30" style="display:none;width:100%" placeholder="Please specify...">
</div>
</div>
<div class="col-sm-4">
<div class="form-group">
<select name="mother_occupation" onchange="if (!window.__cfRLUnblockHandlers) return false; Checkoccupation3(this.value);" style="width:100%">
<option value="">Occupation</option>
<option value="SERVICE">SERVICE</option>
<option value="BUSINESS">BUSINESS</option>
<option value="SELFEMPLOYED">SELF EMPLOYED</option>
<option value="HOMEMAKER">HOMEMAKER</option>
<option value="OTHER">OTHER</option>
</select>
<input class="form-control" type="text" name="mother_occupation_other" id="occupation3" maxlength="30" style="display:none;width:100%" placeholder="Please specify...">
</div>
</div>
<div class="col-sm-4">
<div class="form-group">
<input class="form-control" type="text" onkeypress="if (!window.__cfRLUnblockHandlers) return false; return isNumberKey(event)" name="mother_office_phone" placeholder="Office Phone No.">
</div>
</div>
</div>
<div class="row">
<div class="col-sm-8">
<div class="form-group">
<input class="form-control" type="email" name="mother_email" id="mother_email" placeholder="Email Address" maxlength="50">
<span id="father_email_address_error" class="error"></span>
</div>
</div>
</div>
<h5> Last School Attended </h5>
<div class="row">
<div class="col-sm-1">
<div class="form-group"> 1. </div>
</div>
<div class="col-sm-5">
<div class="form-group">
<input class="form-control" type="text" name="mother_school_name" placeholder="School" maxlength="30">
</div>
</div>
<div class="col-sm-3">
<div class="form-group">
<input class="form-control" type="text" name="mother_school_city_name" placeholder="City" maxlength="20">
</div>
</div>
<div class="col-sm-3">
<div class="form-group">
<input class="form-control" type="text" name="mother_school_year" placeholder="Yr." maxlength="4">
</div>
</div>
</div>
<h5> Last College / Institute Attended </h5>
<div class="row">
<div class="col-sm-1">
<div class="form-group"> 1. </div>
</div>
<div class="col-sm-5">
<div class="form-group">
<input class="form-control" type="text" name="mother_college_name" placeholder="College" maxlength="30">
</div>
</div>
<div class="col-sm-3">
<div class="form-group">
<input class="form-control" type="text" name="mother_college_city_name" placeholder="City" maxlength="20">
</div>
</div>
<div class="col-sm-3">
<div class="form-group">
<input class="form-control" type="text" name="mother_college_year" placeholder="Yr." maxlength="4">
</div>
</div>
</div>
<h4>Residential Address</h4>
<div class="row">
<div class="col-sm-12">
<div class="form-group">
<input class="form-control" type="text" name="res_address" placeholder="Residential Address" maxlength="85">
</div>
</div>
</div>
<h4> Please give particulars of brother/sister(real) if studying in Choithram School North Campus </h4>
<div class="table-responsive">
<table width="100%" class="table ">
<thead>
<tr>
<th width="8%">Sr.No.</th>
<th width="20%">Name</th>
<th width="20%">Class</th>
<th width="20%">Section</th>
<th width="20%">Scholar No</th>
</tr>
</thead>
<tbody>
<tr>
<td>1.</td>
<td><input class="form-control" type="text" name="name" placeholder="Name" maxlength="30"></td>
<td><select name="class">
<option value="">---------</option>
<option value="Nursery">Nursery</option>
<option value="Jr.Montessori">Jr.Montessori</option>
<option value="Sr.Montessori">Sr.Montessori</option>
<option value="I">I</option>
<option value="II">II</option>
<option value="III">III</option>
<option value="IV">IV</option>
<option value="V">V</option>
<option value="VI">VI</option>
<option value="VII">VII</option>
<option value="VIII">VIII</option>
<option value="IX">IX</option>
<option value="XI">XI</option>
</select></td>
<td><select name="section">
<option value="">---------</option>
<option value="A">A</option>
<option value="B">B</option>
<option value="C">C</option>
<option value="D">D</option>
<option value="E">E</option>
<option value="E">F</option>
<option value="G">G</option>
<option value="H">H</option>
</select>
</td>
<td><input class="form-control" type="text" name="scholar" placeholder="Scholar No" maxlength="5"></td>
</tr>
<tr>
<td>2.</td>
<td><input class="form-control" type="text" name="name1" placeholder="Name" maxlength="30"></td>
<td><select name="class1">
<option value="">---------</option>
<option value="Nursery">Nursery</option>
<option value="Jr.Montessori">Jr.Montessori</option>
<option value="Sr.Montessori">Sr.Montessori</option>
<option value="I">I</option>
<option value="II">II</option>
<option value="III">III</option>
<option value="IV">IV</option>
<option value="V">V</option>
<option value="VI">VI</option>
<option value="VII">VII</option>
<option value="VIII">VIII</option>
<option value="IX">IX</option>
<option value="XI">XI</option>
</select></td>
<td><select name="section1">
<option value="">---------</option>
<option value="A">A</option>
<option value="B">B</option>
<option value="C">C</option>
<option value="D">D</option>
<option value="E">E</option>
<option value="E">F</option>
<option value="G">G</option>
<option value="H">H</option>
</select>
</td>
<td><input class="form-control" type="text" name="scholar1" placeholder="Scholar No" maxlength="5"></td>
</tr>
</tbody>
</table>
</div>
<h4> Are you Alumni of Choithram School North Campus ? </h4>
<div class="row">
<div class="col-sm-6">
<div class="form-group"> 1.Father <select name="father_alumni" onchange="if (!window.__cfRLUnblockHandlers) return false; Checkalumnif(this.value);" style="width:100%">
<option value="">------</option>
<option value="Yes">Yes</option>
<option value="No">No</option>
</select>
<select name="father_alumni_other" class="input--style-5" id="alumni1" style="display:none;width:100%">
<option value="">-Year -</option>
<option value="2014">2014</option>
<option value="2013">2013</option>
<option value="2012">2012</option>
<option value="2011">2011</option>
<option value="2010">2010</option>
<option value="2009">2009</option>
<option value="2008">2008</option>
<option value="2007">2007</option>
<option value="2006">2006</option>
<option value="2005">2005</option>
<option value="2004">2004</option>
<option value="2003">2003</option>
<option value="2002">2002</option>
<option value="2001">2001</option>
<option value="2000">2000</option>
<option value="1999">1999</option>
<option value="1998">1998</option>
<option value="1997">1997</option>
<option value="1996">1996</option>
<option value="1995">1995</option>
<option value="1994">1994</option>
<option value="1993">1993</option>
<option value="1992">1992</option>
<option value="1991">1991</option>
<option value="1990">1990</option>
<option value="1989">1989</option>
<option value="1988">1988</option>
<option value="1987">1987</option>
<option value="1986">1986</option>
<option value="1985">1985</option>
<option value="1984">1984</option>
<option value="1983">1983</option>
<option value="1982">1982</option>
<option value="1981">1981</option>
<option value="1980">1980</option>
<option value="1979">1979</option>
<option value="1978">1978</option>
<option value="1977">1977</option>
<option value="1976">1976</option>
<option value="1975">1975</option>
<option value="1974">1974</option>
<option value="1973">1973</option>
<option value="1972">1972</option>
</select>
</div>
</div>
<div class="col-sm-6">
<div class="form-group"> 2. Mother <select name="mother_alumni" onchange="if (!window.__cfRLUnblockHandlers) return false; Checkalumnim(this.value);" style="width:100%">
<option value="">------</option>
<option value="Yes">Yes</option>
<option value="No">No</option>
</select>
<select name="mother_alumni_other" class="input--style-5" id="alumni2" style="display:none;width:100%">
<option value="">-Year -</option>
<option value="2014">2014</option>
<option value="2013">2013</option>
<option value="2012">2012</option>
<option value="2011">2011</option>
<option value="2010">2010</option>
<option value="2009">2009</option>
<option value="2008">2008</option>
<option value="2007">2007</option>
<option value="2006">2006</option>
<option value="2005">2005</option>
<option value="2004">2004</option>
<option value="2003">2003</option>
<option value="2002">2002</option>
<option value="2001">2001</option>
<option value="2000">2000</option>
<option value="1999">1999</option>
<option value="1998">1998</option>
<option value="1997">1997</option>
<option value="1996">1996</option>
<option value="1995">1995</option>
<option value="1994">1994</option>
<option value="1993">1993</option>
<option value="1992">1992</option>
<option value="1991">1991</option>
<option value="1990">1990</option>
<option value="1989">1989</option>
<option value="1988">1988</option>
<option value="1987">1987</option>
<option value="1986">1986</option>
<option value="1985">1985</option>
<option value="1984">1984</option>
<option value="1983">1983</option>
<option value="1982">1982</option>
<option value="1981">1981</option>
<option value="1980">1980</option>
<option value="1979">1979</option>
<option value="1978">1978</option>
<option value="1977">1977</option>
<option value="1976">1976</option>
<option value="1975">1975</option>
<option value="1974">1974</option>
<option value="1973">1973</option>
<option value="1972">1972</option>
</select>
</div>
</div>
</div>
<h4> Other Details</h4>
<div class="row">
<div class="col-sm-6">
<div class="form-group"> 1. Does your child have any physical disability ? <select name="disability" onchange="if (!window.__cfRLUnblockHandlers) return false; Checkoccupation4(this.value);" style="width:100%">
<option value="">------</option>
<option value="Yes">Yes</option>
<option value="No">No</option>
</select>
<input type="text" name="disability_other" class="input--style-5" id="occupation4" style="display:none;width:100%" placeholder="Please specify..." maxlength="52">
</div>
</div>
<div class="col-sm-6">
<div class="form-group"> 2. Does your child need any special attention ? <select name="attention" onchange="if (!window.__cfRLUnblockHandlers) return false; Checkoccupation5(this.value);" style="width:100%">
<option value="">------</option>
<option value="Yes">Yes</option>
<option value="No">No</option>
</select>
<input type="text" name="attention_other" class="input--style-5" id="occupation5" style="display:none;width:100%" placeholder="Please specify..." maxlength="52">
</div>
</div>
</div>
<h4>Upload Documents</h4>
<div class="row">
<div class="col-sm-6">
<div class="form-group"> Upload coloured photo of the Child(Maximum Size is 1MB and only jpg/jpeg/png file Allowed) <input class="input--style-5" type="file" name="image" id="file"
onchange="if (!window.__cfRLUnblockHandlers) return false; return fileValidation()">
</div>
</div>
<div class="col-sm-6">
<div class="form-group"> Upload Birth Certificate of the Child (Maximum Size is 1MB and only jpg/jpeg/png/pdf file Allowed) <input class="input--style-5" type="file" name="birth" id="file1"
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</form>Text Content
Choithram School North Campus,M.R. 11, Vijay Nagar 452010, CBSE Affiliation No. 1030228 Ph: 6264739071 Email: admission@choithramschoolnorthcampus.org REGISTRATION FORM : ACADEMIC YEAR 2025-2026 PLEASE READ THE ELIGIBILITY CRITERIA BEFORE FILLING THE FORM. 1. Eligibility for admission for the session 2025-26 :- * Nursery : Born Between 01.04.2021 to 31.03.2022. * Jr Montessori : Born Between 01.04.2020 to 31.03.2021. * Sr.Montessori : Born Between 01.04.2019 to 31.03.2020. * Class I : Born Between 01.04.2018 to 31.03.2019. 2. Registration does not ensure Admission. Note:- If your ward is selected for admission, the ADHAR card of your ward will be mandatorily required at the time of admission. 3. The registration form is likely to be rejected if any discrepancy is found. 4. Registration fee is non-refundable.. 5. Fee Structure Click Here Select Class Nursery Jr.Montessori Sr.Montessori I II III IV V STUDENT'S DETAILS Gender: Male Female -Religion - BUDDHISM CHRISTIAN HINDU JAIN MUSLIM PARSI SIKH OTHER - Category - GEN OBC ST SC FATHER'S DETAILS Education GRADUATE POST-GRADUATE PROFESSIONAL OTHER Occupation SERVICE BUSINESS SELF EMPLOYED OTHER LAST SCHOOL ATTENDED 1. LAST COLLEGE / INSTITUTE ATTENDED 1. MOTHER'S DETAILS Education GRADUATE POST-GRADUATE PROFESSIONAL OTHER Occupation SERVICE BUSINESS SELF EMPLOYED HOMEMAKER OTHER LAST SCHOOL ATTENDED 1. LAST COLLEGE / INSTITUTE ATTENDED 1. RESIDENTIAL ADDRESS PLEASE GIVE PARTICULARS OF BROTHER/SISTER(REAL) IF STUDYING IN CHOITHRAM SCHOOL NORTH CAMPUS Sr.No. Name Class Section Scholar No 1. --------- Nursery Jr.Montessori Sr.Montessori I II III IV V VI VII VIII IX XI --------- A B C D E F G H 2. --------- Nursery Jr.Montessori Sr.Montessori I II III IV V VI VII VIII IX XI --------- A B C D E F G H ARE YOU ALUMNI OF CHOITHRAM SCHOOL NORTH CAMPUS ? 1.Father ------ Yes No -Year - 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 2. Mother ------ Yes No -Year - 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 OTHER DETAILS 1. Does your child have any physical disability ? ------ Yes No 2. Does your child need any special attention ? ------ Yes No UPLOAD DOCUMENTS Upload coloured photo of the Child(Maximum Size is 1MB and only jpg/jpeg/png file Allowed) Upload Birth Certificate of the Child (Maximum Size is 1MB and only jpg/jpeg/png/pdf file Allowed) DECLARATION I hereby confirm that all the above information is correct. I also agree that Submission of application form does not imply confirmed admission.