SRI CHAITANYA JUNIOR KALASALA

Recognized by Govt .of. Telangana

TS BIE ONLINE APPLICATION FORM FOR FIRST YEAR ADMISSION

BIE ADMN NO : DATE OF ADMN

C . CODE :
( FOR OFFICE USE ONLY )
AFFIX RECENT COLOR
PHOTO

1 . ADMN / ID / APP NO

2 . STUDENT NAME
(As per SSC) (STUDENT SIGNATURE)
3 . FATHER'S NAME 4 . MOTHER'S NAME
(As per SSC) (As per SSC)
5 . PHYSICALLY HANDICAPPED.
YES / NO (if Yes enclose certificate)
6 . MOTHER TONGUE
7 . COMMUNITY (caste) 8 .OCCUPATION (FATHER)
9 . SUBCASTE (caste name) 10 . RELIGION
11 . DATE OF BIRTH 12 . SSC /CBSE/ICSE/OTHERS
(As per SSC) HALLTICKET NO
UDISE DETAILS
13. Student UDISE PEN NO 14. Student's Height
( Permanent Education Number ) (in CMs)
16. Student Weight
15. Student Blood Group
(in KGs)
Please tick ( √ ) the option Telangana SSC AP SSC CBSE ICSE Other State
17 . Name of the School & Address
Last Studied (SSC)
18. IDENTIFICATION MARKS 1)
( MOLES AS PER SSC ) 2)
20 . SECOND LANGUAGE
19 . MEDIUM ENGLISH (for 1st year)
( SANSKRIT, ARABIC, FRENCH )
22. SECTION ( C-120,C-IPL,NPL
21 . GROUP ( MPC/BiPC ) NEET MPL,AIMMS S60
23 . PARENT INCOME (PER YEAR) 24. AADHAR CARD NO.
PRESENT ADDRESS
H.NO: STREET:
VILLAGE: STATE:
DISTRICT: MANDAL:
10th Grade/points/Marks
PIN CODE (postal)
(SSC /CBSE/ICSE/OTHERS)
FATHER PHONE N0 MOTHER PHONE N0