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Use this form to submit your request for Admission. All request received here are reviewed by our team as per policy.

Applicant Name:

Gender Male Female

Birth Date (DD/MM/YYYY):

Category:

Father Name:

Mother Name:

Mobile No:

Aadhar:

Admission Class:

Previous School (If Any):

Permanent Address:

Family Income:

Conveyance required:: Yes No

Comments/Query:

Photo:

Aadhar Card:

Last Year Marksheet:

99/1, Mohadi Shivar, Sirsoli Road, Jalgaon MH

Sr. Wing: 0257-2264890, 2264891, 2264892
Jr. Wing: 0257-2261455, 2261488, 2263053

0257-2263054