The Scholars Home, Varanasi

Class in which admission is sought for*

Session*

Name of the Child*

Date of Birth*

Nationality*

Sex*

Category*

Annual Income*

Religion*

Caste*

Address *

Pin Code*

City*

State*

Phone / Mobile No*

Email*

Aadhar No*

Detail of the Parents*

Details of Mother/Father	Mother	Father
Name
Nationality & Occupation
Name of Office & Full Address with Telephone no.
Full residential address with tele. no.
Permanent Address
Annual Income in (INR)

Name & Address of local guardian (if any)

Name & Address of the school last attended with class

Wheather last school was CBSE Affiliated

If the Last School was not affiliated with CBSE, specify the name of the Board

Result of the last examination

Percentage(%)

Subjects proposed to offer

Subject 1

Subject 2

Subject 3

Subject 4

Subject 5

Subject 6

Mother Tongue

Home Town

Upload Child Photo.*

Only Jpg, Jpeg images are allowed.Applicant Photo size should not be greater than 50KB.

Upload Guardian Sign.*

Only Jpg, Jpeg images are allowed.Applicant Signature size should not be greater than 30KB.