Admission Form

15) Parents' Information :

Father's Name:

Mother's Name:

Father's Educational Qualification:

Mother's Educational Qualification:

Father's Occupation:

Mother's Occupation:

Father's Annual Income:

Mother's Annual Income:

Father's Mobile:

Mother's Mobile:

Father's Office Address:

Mother's Office Address:

Father's Tel. No.:

Mother's Tel. No.:

Father's Email:

Mother's Email:

16) Details of Examinations passed:

Sr. No.	Examination	Specify Degree	Month & Year of Passing	Class	% of Aggregate Marks	Name of Board/ College/ University
1	Std. X (SSC/ ICSE)
2	Std. XII (HSC/ ICSE)
3	Bachelor's Degree
4	Master's Degree
5	Other Degrees/ Diplomas

Medium of Instruction:

At School:

At College:

Note: If there is any break in studies, please mention number of years and reason:

No. of Years:

Reason:

17) Work Experience (Entries should be supported by documents):

Sr. No.	Name of the Organisation (starting with the present employer)	Designation	Period (From - To)	Gross Annual Emoluments
1
2
3

18) Academic Honours, Awards, Certificates, Prizes, scholarship etc. received (Entries should be supported by documents):

19) Extra Curricular Activities and Achievements: