online-application form for LKG -X

Name of Pupil (Initials to be given at the end)

Name of Parent and his relation to the pupil

Occupation and address of parent with
phone number

Name, Address and occupation of local guardian
(in case the pupil does not live with his/her
Parents)

Schools previously
attended with name

Name of School/Board

Date of Admission

Date of Leaving

a) Date of Birth (in figures and words)
b) whether birth certificate produced
(vide Rule VI-(1)

Age on date of application in words (number of
years and months completed should be given)

Community and religion

Nationality and state to which the pupils belongs

Does the candidate belong to the Scheduled
Castes or Scheduled Tribes or orther Backward
Communities or is he/she, a convert from
Scheduled Castes or Scheduled Tribes?

Standard to which admission is sought(in words)

Mother tongue of the pupil

No. and date of Transfer Certificate produced on admission.

Date of Last Vaccination

Identification marks

Station

Date