Chinmaya vidyalaya Bokaro Steel City

Online Registration Form

Online Registration For Class Nursery (SESSION : 2014-15)

Academic Session

Session :
From :
 
To :
Current Date :
Class :

Personal Details

Name of the Candidate :
Gender :
Nationality :
Category :
Are You BPL Card Holder :
 
Blood Group :
Place Of Birth :
Games/Sports Played :
 
Co-Curricular Activities :
 
Physical Disability(if any) :
 
Date Of Birth : (DD-MM-YYYY)
Religion :
 
Phone/Mobile Number :
Mother Tongue :
 
E-mail ID of the Candidate :
Is school Transport Required :
Any noticeable illness suffered :
 
Distance from residence to Vidyalaya :

Sibbling Details

Admission No. Name Class Section
1. 1. 1. 1.
2. 2. 2. 2.
3. 3. 3. 3.

Family Details

Father Details

Name (Block Letter) :
Occupation Details :
Designation :
Organization :
Highest Academic Qualification :
Permanent Address :
Resi. & Present Address :
House/Qr.No. :
Street :
Sector/Locality :
City :
State :
Pin :
Whether Alumni :
(If yes, then submit the document proof at the time of admission)
BSL/Non-BSL/CV :
(If yes, then submit the document proof at the time of admission)
Mobile No. :
E-mail :

Mother Details

Resi. & Present Address :
Whether Alumni :
(If yes, then submit the document proof at the time of admission)
BSL/Non-BSL/CV :
(If yes, then submit the document proof at the time of admission)

Payment Mode-Part 1 Left

Payment Mode :
Bank Name :
Demand  Draft No. :
Branch Name :
Amount : (Rs.)
Date : (DD-MM-YYYY)