PREMIER SCHOOL

A UNIT OF PREMIER EDUCATIONAL TRUST BHADO TOLA ,MADHOPARA,PURNEA-854301

Online Registraion Form

Fill Online Registration Form -> Registration Number Generated -> Pay Online Application fee for Generated Registration number -> Payment Transaction number generated (keep this for payment tracking)

Name of the Student:

Seeking Admission to Class:

--Select--

DOB

Blood Group

--Select Blood Group-- O + O - A + A - B + B - AB + AB -

Nationality

--Select Nationality-- Indian Other than Indian

Religion

Caste

--Select Caste Category-- OBC BC EBC SC ST GEN

Gender

--Select-- Male Female

Handicap

--Select-- NA Blind Deaf Handicapped Dyslexic Spastic

Minority

--Select-- NO YES

Place of birth

Mother Tongue

Name of School Last Studied

Class Last Studied

Date of leaving School

Photograph

Parent Details

Name of the Mother

Profession

Mobile No

Email Id

Mother Qualification

Name of the Father

Residential Address

Residence Tel

Mobile No

Email Id

Father Qualification

Place of Work

City

State

--Select-- Andhra Pradesh Arunachal Pradesh Assam Bihar Chhattisgarh Goa Gujarat Haryana Himachal Pradesh Jharkhand Karnataka Kerala Madhya Pradesh Maharashtra Manipur Meghalaya Mizoram Nagaland Odisha Punjab Rajasthan Sikkim Tamil Nadu Telangana Tripura Uttar Pradesh Uttarakhand West Bengal Andaman and Nicobar Islands Chandigarh Dadra & Nagar Haveli Delhi Jammu and Kashmir Lakshadweep Puducherry Ladakh

Contact No(INDIA)

Remark if any

School Transport Needed

--Select-- No Yes

  Save   Reset