Registration Form 2023-2024
STUDENT'S PERSONAL DETAILS
Admission for Class
*
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Nursery
LKG
UKG
I
II
III
IV
V
VI
VII
VIII
IX
X
XI
XII
Branch
*
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Arts
Commerce
Mathematics
Biology
Agriculture
Student's Name
*
Father's Name
*
Mother's Name
*
Gender
*
Male
Female
Transgender
Student's Date of Birth (MM/DD/YYYY)
*
Category
*
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BPL/GEN
EWS
GEN
GENERAL
OBC
SC
ST
CONTACT DETAILS
State
*
---State---
HARYANA
MADHYA PRADESH
BIHAR
ANDAMAN AND NICOBAR ISLANDS
ANDHRA PRADESH
ARUNACHAL PRADESH
ASSAM
CHATTISGARH
CHANDIGARH
DAMAN AND DIU
DELHI
DADRA AND NAGAR HAVELI
GOA
GUJARAT
HIMACHAL PRADESH
JAMMU AND KASHMIR
JHARKHAND
KERALA
KARNATAKA
LAKSHADWEEP
MEGHALAYA
MAHARASHTRA
MANIPUR
MIZORAM
NAGALAND
ORISSA
PUNJAB
PONDICHERRY
RAJASTHAN
SIKKIM
TAMIL NADU
TRIPURA
UTTARAKHAND
UTTAR PRADESH
WEST BENGAL
TELANGANA
City
*
Address
*
Mobile Number
*
E-Mail Id
*
ADDITIONAL DETAILS
Religion
Hinduism
Islam
Sikhism
Jainism
Judaism
Christian
Blood Group
A+
A-
B+
B-
AB+
AB-
O+
O-
Name of the school presently studying
Whether affiliated to CBSE/ any other board
Medium of Instruction
Parent's Details
Father's Qualification
Father's Occupation
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Private Job
Govt. Job
Defence Forces
Self Employed
None
Other
Name of the Organization (Father)
Father's Designation
Father's Mobile Number
Father's Email ID
Mother's Qualification
Mother's Occupation
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Private Job
Govt. Job
Defence Forces
Self Employed
House Wife
None
Other
Name of the Organization (Mother)
Mother's Designation
Mother's Mobile Number
Mother's Email ID
The parents are
Married
Divorced
Separated
Widowed
Child lives with
Both parents
Father
Mother
Guardian
If The Child is Adopted
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Yes
No
Child's Aadhaar Card
Father's Aadhaar Card
Mother's Aadhaar Card
SSMID
Any Other Information
Staff Child? (Yes/No)
Sibling studying in School (If Yes, Scholar No.)
Guardian Name
Contact No.
Undertaking Agreement
I agree to the below mentioned undertaking
*
Yes
No
UPLOAD DOCUMENTS
Photo of Child
*
Child's Aadhaar card
*
Birth Certificate
*
Mother's Aadhaar Card
Father's Aadhaar Card
SSMID
Undertaking
UNDERTAKING/DECLARATION:
I fully understand that the school, on accepting the registration of my ward, is not in any way bound to grant admission. I also understand that the decision of the school authorities regarding admission will be final and binding on me.
I fully understand that
Unique Academy Khandwa
has the right to offer admission based on vacancy of seats.
I hereby certify that the Date of Birth and spelling of name of my ward given in this form are true and correct and I shall not make any request for change.
I undertake that the information / documents submitted in this form are true and correct and not misleading and no relevant information has been concealed. I understand that false or misleading information or withholding correct information may disqualify my ward for admission/education at this school.
INSTRUCTIONS:
Registration once completed for a particular year is
non-transferable
to any other year or to any other child.
Issue of Registration Form does not Guarantee Admission.
Please attach attested copy of Municipal Birth Certificate.
Please attach copy of the attested Mark Sheet of previous class examination.
Attach copy of certificates for proficiency in Games, Co-curricular / outstanding achievements. (If any)
Incomplete registration form will not be accepted. It is mandatory to attach all enclosures as stated above.
Submit Form