Online Admission Form | Origin Academy School


ADMISSION FORM
Applicant's Details First Name * Last Name Class * Section * Gender * Date of Birth * Student Mobile Number * Category Blood Group Caste Religion Height Weight Image Note : 200 KB max size, supported formats: .jpg, .png, .jpeg Parent/Guardian Details Father Name Father Phone Father Occupation Mother Name Mother Phone Mother Occupation If Guardian Is Father Mother Other Guardian Name Guardian Relation Guardian Phone Guardian Occupation Guardian Email Guardian Address Current Address Permanent Address State City Pin Code Bank Account Number Bank Name IFSC Code Aadhar Number Local Identification Number Previous School Details Note Other Details Last Class

ADMISSION FORM

First Name *

Last Name

Class *

Gender *

Date of Birth *

Student Mobile Number *

Father Name

Father Phone

Father Occupation

Mother Name

Mother Phone

Mother Occupation

If Guardian Is

Father

Mother

Other

Guardian Name

Guardian Relation

Guardian Phone

Guardian Occupation

Guardian Email

Guardian Address

Current Address

Permanent Address

State

City

Pin Code

Bank Account Number

Bank Name

IFSC Code

Aadhar Number

Local Identification Number

Previous School Details

Note

Last Class

ORIGIN ACADEMY SCHOOLTISKILI KHURD, SUHAULA AMDARA MAIHAR (M.P)