CSI Corley

Student Enrollment Form

Enable this Entension

Exam No.*

Student Name (Initial at the back)*

Mother's Name (Initial at the back)*

Father's Name (Initial at the back)*

Guardian's Name

Date of Birth*

Gender*

Blood Group

Height(in cms)

Weight(in kgs)

Mother Tongue*

Class Studying*

Section*

Medium*

Nationality*

State*

Native District*

Door No. & Street*

Area*

City / Village*

District*

Pin Code*

Mobile Number*

Religion*

Community*

Sub Caste*

Community Certificate*

Mother's Occupation

Father's Occupation

Parents Annual Income(in Rs)*

Child Differently Able*

District in which bank account is held

Bank Name

Branch Name

Bank Account No.

IFSC Code

Bus Pass*

Nutritious Meal Program*

Sports Player*

Scholarship from other source*

Aadhar No.*

RationCard No.*

Is Sibling