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 Student Application Form

1. Student Personal Information


Student Name(बच्ची का नाम)*:
Father Name(बच्ची के बाप का नाम)*:
Surname(सरनेम):*:
Date Of Birth*:
  
Fees:
  Yes     No
Adhar Card No(बच्ची का आधारकार्ड नंबर)*:
Student Image(बच्ची का फ़ोटो)*:
Close-Up Of Your Full Face Photo Is Compulsory.

2. Parent Information


Parent Occupation (कारोबार):
Parent Annual Income (वार्षिक आय):
Grand Father Name(बच्ची के दादा का नाम)*:
Mother Name(बच्ची की माँ का नाम)*:
Father/Guardian Aadhar No:
 

3. Contact Details


Mobile 1(User Id)*:

Enter Only 10 Digit.
Relation:
Mobile 2:

Enter Only 10 Digit.
Relation:
E-Mail:

4. Address Information


Residence Address:

Road/Street/Maholla:
City/Village:
Taluka/Tehsil/Thana (थाना):
State (राज्य)*:
District (जिला)*:
Pincode*:
If Your Permanent Address And Residence Address Is Not Same:  

5. Detail Of Student Madrasa Education


Madrasa Name:
  Urdu:
  Nazra:*(Quraan)
  Hifz:
  Arabic:

6. Detail Of Student School Education (छात्र स्कूल शिक्षा का विस्तार)


School Name:
Standard Passed:
Grade:
Medium:    Urdu      Gujarati      English      Hindi      Other

7. In Which Class You Want To Take Admission (किस कक्षा में आप प्रवेश लेना चाहते हैं)


  Urdu Section
  Hifz Section
  Nazra Section
  Arabic Section
  Dinyat Section

8. Documents


Birth Date Proof *:

  Passport
  Birth Cirtificate Municipal Authority
  Panchyat Certificate
  School Liviing Certificate
  AADHAAR Card

Address Proof *:

  Passport
  Father Election Card
  Telephone Bill
  Ration Card
  AADHAAR Card

Others Certificates :

  Medical Certificate
At least One Birthdate Proof And One Address Proof Is Compulsory. (कम से कम एक जन्मदिन का सबूत और एक पते का सबूत अनिवार्य है)

9. Other Infromation


AAP ZAKAT KE MUSTAHIQ HAI?  (आप ज़कात के मुस्तहिक़ है?):   Yes     No  

10. Visitors Infromation (मुलाकाती मेहरम की डिटेल)


Visitors 1 (Mehrims):
Visitors 1 Mobile(Mehrims):
Adhar card No1*:
Relation:
Visitors 2 (Mehrims):
Visitors 2 Mobile(Mehrims):
Adhar card No2*:
Relation:
Visitors 3 (Mehrims):
Visitors 3 Mobile(Mehrims):
Adhar card No3*:
Relation:

11. Set Your Password.


User ID*:
Password*:

15 + 3 =
* = compulsory field.
Your mobile no is your user name (आपका मोबाइल नंबर आपका उपयोगकर्ता नाम है)