uTab Education ERP

VIVEKANAND PUBLIC SCHOOL

Warisaliganj, Nawada(Bihar)-805130

Registration Form

Please furnish the below mentioned details and complete the registration

Fields marked with * are mandatory.

Academic ^*

Apply Date ^*

Grade/Class ^*

Source of Information

Sibling Admission No:

First Name ^*

Middle Name

Last Name

Gender

Date of Birth

Student Type

Father Information

Father Name ^*

Father Aadhaar Number

Contact No.

Occupation

Profession

Qualification

Organization

Designation

Annual Income

Father Specialization

Father Photo

Mother Information

Mother Name ^*

Mother Aadhaar Number

Contact No.

Occupation

Profession

Qualification

Organization

Designation

Annual Income

Mother Specialization

Mother Photo

Guardian Name

Contact No.

Occupation

Profession

Qualification

Organization

Designation

Guardian Photo

Current Class/Grade

Current School Name

Reason for Leaving

Approximate Distance From School

Whether Day Boarding will be Required

References 1

Full Name

Contact No.

References 2

Full Name

Contact No.

Email Id

Birth Certificate ^*:

Father Aadhar Card

Mother Aadhar Card

Address Proof

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