ISLAMIC PUBLIC SCHOOL

Application Form

Student Information

First Name *

Middle Name

Last Name

Gender *

Date Of Birth *

Aadhaar No

Medium of Instruction

Student Photo

Class *

Present Address

Village/Town

P.O.

State

P.S.

Dist.

Permanent Address

Village/Town

P.O.

State

P.S.

Dist.

Present School Details

Name of the School

Village/Town

P.O.

P.S.

Dist

State

Father Information

Father Name

Father Occupation

Aadhaar No

Contact Mobile No(WhatsApp No)

Contact Mobile No(Telegram No)

Educational Qualifications

Annual Income

Father Photo

Mother Information

Mother Name

Mother Occupation

Contact Mobile No.(WhatsApp No.)

Contact Mobile No.(Telegram No.)

Aadhaar No

Educational Qualifications

Annual Income

Father Name (In BLOCK Letters)

Mother Photo

Parent Guardian Detail

If Guardian Is * Father Mother Other

Guardian Name *

Guardian Relation

Guardian Email

Guardian Photo

Guardian Phone *

Guardian Occupation

Siblings Details

Name

Age

Where did you hear

Referral Name

Referral Contact No.

Online Admission

Application Form

Student Information

Present Address

Permanent Address

Present School Details

Father Information

Mother Information

Parent Guardian Detail

Siblings Details

Other Information