A. Exam Preference

Select Group

Select Option Class I-IV Class V-VIII Class IX-XII

Exam District

Select District Cachar Hailakandi Karimganj

1st Preference

Exam Center

2nd Preference

Exam Center

Student Date Of Birth

B. Personal Details

Gender

Male:    Female:   Other: 

Caste

Select Option General OBC MOBC SC ST Other

Physically Challanged

Yes:    No: 

Nationality

Indian Other

Economic Status

Select Option APL BPL EWS Other

Father's Occupation is/was

Select Option Govt. Teacher Pvt. Teacher Govt. Employee Pvt. Employee Business Doctor Engineer Lawyer Farmer Police/Defence Forces Other

Mother's Occupation is/was

Select Option Homemaker Govt. Teacher Pvt. Teacher Govt. Employee Pvt. Employee Business Doctor Engineer Lawyer Farmer Police/Defence Forces Other

Family Annual Income

Select Option Less Than Rs. 50,000 Less Than Rs. 1.5 lk Less Than Rs. 3 lk Less Than Rs. 5 lk Less Than Rs. 8 lk Less Than Rs. 10 lk Above Rs. 10 lk

C. Educational Qualifications (Last Class Performance)

Present School Name

School Address

Principal/ School Mobile

Present Class

Select Option Class-I Class-II Class-III Class-IV Class-V Class-VI Class-VII Class-VIII Class-IX Class-X Class-XI Class-XII

Class Roll No.

School Board/ Council Name

Last Final Exam Year

Last Final Exam Total Marks

Last Final Exam Obtain Marks

Grade/ % (if any)