PNI

Student Admission Form - Step 1 of 2

*Note: Registration fee Rs. 700/- to be paid before submitting the application form

Class of Admission*

Academic Year*

Date*

Student's Personal Details

First Name*

Last Name*

Date of birth*

Age

Aadhaar No.

Gender*

Male Female

Country

Mother tongue

Religion

Caste

Previous School Details

Name of Previous school

Board

Grade/mark obtained

Senior Secondary*

Yes

Name of Exam *

Identification Mark*

Note:Class X school assessment record to be produced at the time of admission

Subjects	Class X Final Mark out of 100
English
Hindi
Sanskrit/Malayalam
Science
Social Science
Maths
TOTAL

Permanent address

Pin code

Res. phone no

Temporary address

Same as above

Address1

Pin code

Res. phone no

Parent /guardian details

Mother name*

Occupation

Qualification

Whatsapp Mobile no*

Father name*

Occupation

Qualification

Whatsapp Mobile no*

Guardian name*

Relationship with student

Whatsapp Mobile no

Document submitted

The following documents to be ready for submission at a later date.

Copy of Mark List

Copy of Aadhaar Card

Original TC

Original Migration

Original Contact Certificate

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Maximum Size 1MB

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