Primary & High School - Vishwaprajna School

Name

Sex

Age & Date of Birth

(Birth Certificate to be enclosed)

Place of birth (Taluk / District)

Class to which admission is sought

Mother Tongue

Last School attended

Standard last attended

Address the ST

Date of Leaving the previous school

Father's Name & Qualification

Mother's Name & Qualificiation

Father's Occupation / Annual Income

Nationalality / Religion / Caste

Wheather belongs to SC / ST

(Certificate to be enclosed)

Residential Address of Parents / Guardians

Office Address

Phone / Mobile / Residence / Office Number

First Language you wish to take

I hereby agree to abide by all the rules prescribed by the Instition

I request that the above mentioned pupil may admit to I hereby agree to abide by all the rules prescribed by the Institution