Connectia | eSchool Dashboard

Online Admission Form

Online Admission Code:*

School Name:

Student Name:*

Adhaar No:*

Religion:*

Category:*

Cast:

Sub Cast:

Gender:*

Nationality:*

Mother Toung:*

Birth Place Details

Birth Place:*

Birth Date:*

Birth Date In Word:

Country: *

State: *

District:*

Taluka:*

Student Medical Information

Blood Group:

Height:

Weight:

Medical Histroy Notes:

Parents Information

Father's Name:*

Father's EmailId:

Father's Mobile No:*

Father's Education:

Father's Annual Income:

Mother's Name:*

Mother's EmailId:

Mother's Mobile No:*

Mother's Education:

Mother's Annual Income:

Residential Address:*

Permanent Address:*

To Whom Contact No Reg. For School:*

Last School Attend:*

Last Class /Standard In Which Studied:*

Admission Seeking For Class:*

Upload Student's Photo

Please upload jpeg/png format file

Upload Document (Birth Certificate/L.C)

I undertake that the information mentioned above regarding my son/daughter/ward is true and correct to the best of my knowledge, I also agree that I shall abide by all the rules and regulations of the school. In case of any action or decision is taken against my son/daughter/ward by Principal of the school will be acceptable to me.

Date: 30-Apr-2025

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