Name of Student Date of Birth* Date*Date12345678910111213141516171819202122232425262728293031 Month*MonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Year*Year20032004200520062007200820092010201120122013201420152016201720182019202020212022 Name of School currently studying in Class in which seeking admissionSelect ClassNurseryLKGUKGClass IClass IIClass IIIClass IVClass VClass VIClass VIIClass VIIIClass IXClass X Name of Father/Mother Contact Number E-mail Address Complete Address House Number Name of Locality / Area Name of City State Pincode Your Message* What is 9 x 9 ?