Online Application | Gnanabharati English Medium School, Srikakulam

Date of Birth Certificate issued by Nagar Nigam/Municipal Corporation is required as mandatory document in .jpg or .pdf format.
Please ensure all the supportive document to be going to upload must be in .jpg or .pdf format.
Any misleading information may become the cause for disqualification.
Candidate’s passport size colour photograph must be in .jpg format.

For Admission in Class

Candidate's Photograph

Attach a recent passport size photograph

Candidate's Name

Date Of Birth

Sex

Date of Birth Cetificate

Issued by Nagar Nigam/Municipal Corporation

Nationality

Indian/Others

Religion

Age

As on 1st January, 2016 (Year and Month)

Cast

Mother's Name

Mother's Qualification

Occupation of the Parents/Guardian

Father's Name

Father's Qualification

Annual Income of the Parents/Guardian

Correspondence Address

Permanent Address

Student Adhar Card No

Mother Tongue

Third Language

Telgue, Oriya

Phone no

e.g. +91-11- 99999999

Mobile no

e.g. +91-999-999-9999

Number of Brother's

Age

Number of Sister's

Age

Psychology of the Candidate in General

Hot tempered/Sensitive/Mid/ Mischievous/Calm going/others

Any other information which the parents like to give may be mentioned below

Attach Other Documents

e.g. Last class attended Grade card, TC, Adhar card etc.

Marks obtained in the annual examination of the previous class

Statement

I certify that all the data submitted are true as per my knowledge.

Date