Application page

Science Hub Online Application Form

Personal Information

Student Name *

Date of Birth *

Gender

Religion*

Blood Group*

Adhar Number*

Cast*

Category (Ration Card Type)*

Physicaly Handicapped*

Parent Details

Father's Name*

Father's Aadhaar Card No*

Father's Voter Card No*

Father Occupation*

Father's Qualification*

Remark's*

Mother's Name*

Mother's Aadhaar Card No*

Mother's Voter Card No*

Mother Occupation*

Mother's Qualification*

Remark's*

If Father is Guardian* Yes

Guardian's Name*

Guardian Occupation*

Annual Family Income*

Contact Details

Select State*

District*

Police Station*

Village/Town*

Post Office*

Land Mark*

Pin Code*

Gurdian`s Ph Number*

WhatsApp Number*

Email-id*

Previous School Details

Previous School name*

School Address*

Year Of Living*

Reason Of Living*

Class Completed*

Total Percentage*

Grade*

Admission Details

Class Admission*

Section*

Session*

Course Fee Type*

Roll Number*

Admission Amount*

Admission Paid*

Admission Due Amount*

Admission Remark*

Payment Mode*

Documents Upload

Document Type*	Choose Document	Preview Document	File Size
Student Image
Student Signature
Guardian Image
Joint Photo