Name ______________________________________________Profession ______________

 Father’s Name _______________________________________Profession ______________

 Present Address  ____________________________________________________________          

 Phone Office  _____________________________Phone Residence ____________________

 Nationality ___________________________________Religion ________________________

National Identity Card No.

 Date of Birth                           Day ______  Month ___________ Year __________.   

Academic Qualification

Timings

Morning ___________                    Evening  ____________  

For Office Use Only

Date of Admission ___________ Registration No. __________ Roll No._________