EduWise-Stumed

Admission Form

Student Details

Registration No

Name *

Admission *

New-Admission Re-Admission

Gender *

Male Female

Blood Group

Date Of Birth *

Previous Class

Admission In Class *

Any Disability

Orphan / Non-Orphan *

Hostel Facility *

Yes No

Aadhaar Card No

Aadhaar Card

jpg / png (Less than 700KB)

Student Photo Upload

jpg / png (Less than 700KB)

Birth Certificate

jpg / png (Less than 700KB)

Parent Details

Father's Name *

Father's Photo

jpg / png (Less than 700KB)

Father's Aadhaar Card

jpg / png (Less than 700KB)

Father's Ocupation

Father's Mobile No

Mother's Name *

Mother's Photo

jpg / png (Less than 700KB)

Mother's Aadhaar Card

jpg / png (Less than 700KB)

Mother's Ocupation

Mother's Mobile No

Guardian's Name

Guardian's Photo

jpg / png (Less than 700KB)

Relation With Guardian

Contact Details

Mobile No *

Email

Village *

Block / Municipality *

District *

Post Office *

Police Station *

City *

Pin Code *

State *

Bank Details

Bank Name

Branch Name

Account No

IFSC Code