School Name Required
School Address Line 1 Required
School Address Line 2
School Address Line 3
School Email
State --- Select One --- A. P. Andaman & Nicobar ARUNACHAL Assam Bihar Chandigarh Chhattisgarh Dadar & Nagar Haveli Daman & Diu Delhi Goa Gujarat H. P. Haryana Islands J. & K. Jharkhand Karnataka Kerala Ladakh Lakshadweep M P Maharashtra Manipur Meghalaya Mizoram Nagaland Odisha Puducherry Punjab Rajasthan Sikkim Tamil Nadu Telangana Tripura U. P. Uttarakhand West Bengal Required
District --- Select One --- --- Select One --- Required
Name of the Teacher In charge/Guardian Mr. Ms. Required
Name of the Student 1 Mr. Ms. Required
Date of birth Student 1 Required
Class Required
Residence Address of Student 1 Required
Pin Code Required
Email of Student 1 Required
Mobile of Student 1 Required
Upload your School ID Card In case your current ID card is not available, may kindly upload your old ID card or your recent Photograph. (only .JPG,.PNG allowed) File size should be between 10kb – 20kb.
Name of the Student 2 Mr. Ms.
Date of birth Student 2
Class
Residence Address of Student 2
Pin Code
Email of Student 2
Mobile of Student 2
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