1.

Application No :
2. Application Date :
3. Name of the Student :
4. DOB :
5. Aadhaar Number :
6. Mobile Number :

7. Email Address :

8. Gender :

9. Admission into(class) Preference I :

10. Admission into(class) Preference II :

11. Admission into(class) Preference III :

12. Second Language :

13. Religion :
14. Father Name :
15. Mother Name :

16. Father Mobile :

17. Present Address :

18. Permanent Address :

19. Present Class :

20. Present Class Institution Name :

21. Present Class Institution Address :

22. Present Class Institution Board :

23. Present Class First Language :

24. Present Class Second Language :

25. Present Class Third Language :

26. Have you attended Sathya Sai Bala :

Vikas Program

27. ApplicationAmount :

28. Mode of payment :

29. Receipt No :

30. Date of Payment :

NOTE : Please bring the colour print of the application form on the day of Entrance Examination

UNDERTAKING

I father/mother of here by declare that the information given by me is based on facts and authentic records.

Admission of my child may be cancelled if any information found to be false.

Date: .......... Signature of the Student :

Place : ........ Signature of the Parent :