Registration Form

:+91-05944-244048 , +91-9068809205
ranbilaspur@hotmail.com, ranbilaspur1@gmail.com
National Highway-87, Gram Dibdiba, P.O. Kaushalganj, Tehsil-Bilaspur, District-Rampur (U.P.) - 244921

Note: All '*' marked fields are mandatory. Please mention 'NA' if not applicable.

Sibling Details

Sibling (Real Brother/ Sister) only studying in same school Yes/No (Tick the appropriate)

Admission No. of Sibling

Name of Sibling

Sibling Class

Student Details

First Name*

Student Middle Name

Student Last Name *

Gender*

Date of Birth*

Admission sought in class*

Current Address

Address*

City*

State*

Pin Code*

Permanent Address

Address*

City*

State*

Pin Code*

Father's Details

Father Name *

Qualification

Occupation

Organization

Designation

Annual Income

Phone(Off.)

Address(Off.)

E-mail*

Mobile No.*

Mother's Details

Mother Name *