Eklavya Model Residential School Chicholi
Chicholi, Betul, Betul, Madhya Pradesh (460001)
[email protected]
+91 9407515607,+91 9424648393
Admission Details
Sesstion
Class
--Select Class--
6th
7th
8th
9th
10th
11th Science
11th Commerce
11th Arts
11th Agriculture
12th Science
12th Commerce
12th Arts
12th Agriculture
Other
Student Information
Student Name
Mobile Number
Email
Gender
--Select Gender--
Male
Female
Other
Category
--Select Category--
Impaired child of any category
Scheduled Tribes (ST)
Other
Date of Birth
Aadhar Number
Permanent Address
Address Line 1
Address Line 2
City
State
--Select State--
Andaman and Nicobar Islands
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra and Nagar Haveli
Daman and Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Ladakh
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Puducherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
Pincode
Communication Address
Address Line 1
Address Line 2
City
State
--Select State--
Andaman and Nicobar Islands
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra and Nagar Haveli
Daman and Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Ladakh
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Puducherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
Pincode
Father's Information
Name
Occupation
Qualification
PAN
Aadhar
Mother's Information
Name
Occupation
Qualification
PAN
Aadhar
Other Services
Is hostel required?
Is transportation required?
Documents Upload
Photo
Transfer Certificate
Birth Certificate
Address Proof
Minority Certificate
Character Certificate
Income Certificate
Previous Class Certificate
Ration Card
Note:
Please type "NA" if Not Applicable.
By submiting this form you agree to our
terms & conditions
and
privacy policy
.
Input Errors