PEACE ISLAMIC SCHOOL

Domkal * Murshidabad

*** Please ensure that the Name and Date of Birth of the student on the Birth Certificate and the School Certificate are identical.

ADMISSION DESIRED

Admission Year *

Admision For Class *

Admission Category *

Banglar Shiksha ID

Exam centre

Stream

BASIC INFORMATION

Student's Name *

Gender *

Aadhaar No

Mobile No *

Social Category

Religion *

Disability

Date of Birth *

Age (as on 1st January)

GUARDIAN INFO

Father's Name *

Mother's Name *

Guardian's Name *

Guardian's Profession

Guardian's Qualification

Guardian's Yearly Income

Father's Contact *

Mother's Contact

Guardian's Contact *

Relationship with the Guardian's *

PERMANENT ADDRESS

Village *

Post Office *

Police Station *

Block / Municipality *

District *

State *

Pin Code *

Same as Permanent Address

PRESENT ADDRESS

Village

Post Office

Police Station

Block / Municipality

District

State

Pin Code

BANK DETAILS

Bank Name

Account Number

IFSC

Branch Name

ACADEMIC INFO

Previous School Name

Previous Class

Year of Passing

Marks Obtained

Upload Applicant Image *

Preview & Crop

I have read and accepted all the Terms & Conditions *

Applicant Inspired By *