Kimmins| Admission Form

Student Information

Full name of the student:

Name:

Father's Name:

Surname:

Mother's Name:

Nationality:

Mother Tongue:

Religion:

Caste:

Sub-Caste:

Category:

(Attach a copy of Caste Certificate if not "General")

Place of Birth:

Village/City:

Taluka:

Zilla:

State:

Country:

Date of Birth (In Figures):

Date of Birth (In Words):

Aadhar Card No.:

(Please attach a photocopy of Aadhar Card)*

Postal Address

Postal Address of Parent

Address:

City:

Taluka:

Country:

District:

State:

Pin:

Email Id:

Mobile No.:

Alternate Mobile No.:

Landline with STD code:

Postal Address of Guardian

Name:

Address:

City:

Taluka:

Country:

District:

State:

Pin:

Email Id:

Mobile No.:

Alternate Mobile No.:

Landline with STD code:

Student Information

Day Student/Boarder:

Vegetarian/Non-Vegetarian:

Name of relatives who studied in this school:

Details of the present school:

(a) Name:

(b) Medium of instruction:

(d) Address:

(e) Class studying in:

(f) Promoted/Detained:

(g) Reason for leaving school:

Standard in which admission is sought: