Admission Form
Academic Year 2026-2027
Student Name
*
Father Name
Mother Name
Guardian Occupation
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Government Employee
Private Employee
Labour
Business
Unemployed
Father Contact No (Primary)
*
Mother Contact No (Secondary)
Child Date Of Birth
*
Gender
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Boy
Girl
Children in family
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1
2
3
4
5
6
7
8
9
10
Student Birth Place
Select District
Athani
Bailhongal
Belgaum
Chikkodi
Gokak
Hukkeri
Khanapur
Raibhag
Ramdurg
Saundatti
Admission Standard
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Nursery
LKG
UKG
1
2
3
4
5
6
7
House No
Street Name
Area
Monthly Income
Caste
Select..
SC
ST
OBC
Hindu-Maratha
Hindu-Lingayat
Hindu-Jain
Hindu-Ganig
Reddy
Hindu-Kurubar
Vishwakarma
Hindu-Bedar
Kshatriya
Hadpad
Hindu-Madar
Nayak
Hindu-Uppar
Hindu-Hatgar
Harijan
Walmiki
Muslim
Kumbar
Hindu Lamani
Sikh
Koravar
Others
Mother Tongue
Bus Location
Student Aadhar No
Previous School Name
Student Photo
Student Adhar Card