Scribd
Upload
23 views1 page

Student Application Form Template

The document is a student application form that requires personal details, including the student's name, date of birth, and Aadhar number. It also collects information on residency, disability status, reservation category, and parent's income. A declaration is included for the applicant to confirm the accuracy of the provided information.

Uploaded by

sana
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
23 views1 page

Student Application Form Template

The document is a student application form that requires personal details, including the student's name, date of birth, and Aadhar number. It also collects information on residency, disability status, reservation category, and parent's income. A declaration is included for the applicant to confirm the accuracy of the provided information.

Uploaded by

sana
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

PHOTO

STUDENT APPLICATION FORM


(For Manual Filling – Please use BLOCK LETTERS and black/blue ink)
1. Student Details

• Full Name: _________________________________


• Father’s Name: _____________________________
• Mother’s Name: _____________________________
• Date of Birth (DD/MM/YYYY): ________________
• Aadhar Number: ____________________________
• UDISE Code: _______________________________
Student’s Signature

2. Personal Information
• Permanent Resident of Maharashtra (Domicile):
☐ Yes ☐ No
(If Yes, attach domicile certificate copy)

• Differently Abled:
☐ Yes ☐ No
(If Yes, mention type and attach relevant certificate) Details: ___________________________

3. Category & Income Details


• Reservation Category:
☐ SC ☐ ST ☐ NT ☐ Open

• Parent’s Annual Income (₹): __________________ (Attach income certificate)

4. Contact Information
• Parent’s Mobile Number: ____________________
• Email ID: ___________________________________

5. Declaration
I hereby declare that the information provided above is true and correct to the best of my knowledge. I
understand that if any information is found to be false, my application may be rejected.
• Place: _______________________
• Date: _______________________
Signature of Parent/Guardian: __________________________
Name of Parent/Guardian: _______________________________

You might also like