Uma Vidhyalaya

Admission Form

* Please Fill Forms in English.All Fields are compulsory.

Medium

Standard

Surname

Please enter a valid Name using alphabetic characters only.

Name of the student

Please enter a valid Name using alphabetic characters only.

Father’s name

Please enter a valid Name using alphabetic characters only.

Mother’s name

Please enter a valid Name using alphabetic characters only.

Mother Tongue

Please enter a valid Name using alphabetic characters only.

Place of Birth

Please enter a valid Name using alphabetic characters only.

Gender

Date of Birth (MM/DD/YYYY)

Date of Birth (In words)

Caste / sub caste

Address with Pincode

Parents Mobile No

Whatsapp No

Religion

Qualification of Father

Qualification of Mother

Occupation of Father

Office Address with Pincode

Parents Monthly Income

Special instruction regarding your child if any pl.spacify

Current School Name

Allergic to Medicine or Food item if any

Select Today’s Date