Student Application Form 2023 (Final Print)

1.Registration No.: 66903

2.Name of Student: AMAN JAISWAL

3.Gender: MALE 4.Class: PRE PRIMARY

5.Date of Birth: 10/08/2019 6.Father Name: LATE RAVI KUMAR

JAISWAL
7.Mother Name: KHUSHBU 8.Voter Card No(Epic 465334680584
No)
9.Mobile No: 6306473624 10.Alt Mob No:

11.District: VARANASI 12.Block/Town: काशीविद्यापीठ

13.Grampanchayat/Ward:
सुसुवाही 14.Current Address: KARMANVEER
SUSUWAHI VARANASI
221011
15.Category: दुर्बल वर्ग 16.Sub Category: जिसके माता-पिता या संरक्षक
की अधिकतम वार्षिक आय
रूO 1 लाख तक हो
17.Monthly Income: 5000 19.Income Certificate 672211028152
No: 18.Mode of
Application
SELF - PHONE / School Choice Detail
INTERNET CAFE /
COMPUTER
CHNo School Name Address
NAVNEETA KUNWAR PUBLIC NA GANESHPURI COLONY SUSUHWAHI NEAR BHU
1
SCHOOL HYDERABAD DATE
2 ADITYA PUBLIC SCHOOL 0 SUSUWAHI NEAR HADERABAD GATE ROHANIYA
KARMANVEER JUNIOR HIGH KARMANVEER JUNIOR HIGH SCHOOL SUSUWAHI NEAR
3
SCHOOL BHU
NEW HEIGHTS PUBLIC B BLOCK LANE NO 7 MANORATHPURI COLONY NEAR
4
SCHOOL HYDERABAD GATE BHU
B.D.ACADEMY SUSUWAHI
5 H540
VARANASI
Address Proof Age Proof Document Sub Category
Document Document