Self Certification Proforma

Class (in which Admission is sought)

Fee to Pay

Name Of Candidate

Date Of Birth

Mother's Name

Father's Name

Profession (Mother)

Profession (Father)

E-mail ID

Mobile (M)

Mobile (F)

Present Address For Correspondence

Bus Required
YESNO

Previous School Attended

Board

Result

Maximum Marks

Obtained Marks

Percentage

Certification

FEE ONCE PAID IS NEITHER REFUNDABLE NOR ADJUSTABLE

I UNDERTAKE THAT I WILL SUBMIT THE REQUIRED DOCUMENT WITHIN 15 DAYS OF OPENING OF LOCKDOWN