::OSMS:: Provisional Student Admission Form

PROVISIONAL ADMISSION FORM
CLASS: V    SESSION: 2017

Primary Detail

Use BLOCK LETTERS only

* required field

UDISE Code of the School : Academic Session :
Financial Year : Admission sought in class :

Information of the Student

* Name of the Student :


* Date of Birth :
Sex :
Nationality : * Religion :
* Caste :
* Sub-Caste :
* Caste Certificate Issued By :
* Caste Certificate No.:
* Family Income Slab :
* BPL ID :
* Annual Family Income : Rs.
* If Bank Account Present :
* Account No. :
* Branch IFSC :
AADHAAR No. of the Student :
* If Physically Disabled :
* Type of Disability :
* Percentage of Disability : %
* If brother (sibling) is reading here :
* Admission Serial No. of Sibling :
Last Class Passed :
* Last Exam. Marks Entry :
Marks obtained [Formative] :
Full Marks [Formative] :
Marks obtained [Summative] :
Full Marks [Summative] :
Percentage [Formative] : %
Percentage [Summative] : %
Percentage [Both] : %
* Special Area of Interest :

Communication Information

* Area :
* Locality :
PIN Code : Post Office :
Block : District :
State : Email ID :
* Mobile No. [1] :
Mobile No. [2] :

Guardian Information

* Name of the Father :


AADHAAR ID of the Father :
EPIC No. of the Father :
* Name of the Mother :


AADHAAR ID of the Mother :
EPIC No. of the Mother :
* Guardian - Relationship :
* Name of the Guardian :
* Occupation of the Guardian :
* Reason for Guardian
other than Parents :