Registration

Processing Request

REGISTRATION FORM

Student Details

First Name*

Last Name

Gender*

Date of Birth*

Aadhaar Number

Name as in Aadhaar

Birth Certificate No.

Date of issue of Birth Cert.

APAAR ID

Session*

Grade*

Religion

Social Category

Blood Group

Mother Tongue

Nationality*

Resident Type*

OCI Passport

Yes

No

Admission Type*

SEN

EAL

Hostel

Yes

No

Hostel Type

Medical History

Last School Attended

Address of last school attended

Transportation

Yes

No

Specially Abled

Yes

No

Special Abled Details

Address Details

Address

City

State

Pincode

Country

Parent Details

Father's First Name*

Father's Last Name

Father's Email*

Father's Mobile*

Father's Educational Qualification

Father's Occupation

Father's Annual Income

Father's Office Address

Mother's First Name

Mother's Last Name

Mother's Email

Mother's Mobile

Mother's Educational Qualification

Mother's Occupation

Mother's Annual Income

Mother's Office Address

Upload Photos

**Image format should be JPG only and size should not be more than 200KB

Student Photo

Father's Photo

Mother's Photo

Upload Documents

**File format PDF/JPG only & size upto 500KB

DOB Certificate

Residence Proof

Academic Report

Payment

Registration Amount (INR)

Comment

I, , parent of , hereby declare that the information mentioned above is true and correct to my knowledge and belief. I have read and understood all the provisions of the notification in this regard. In case, any information is found false or incorrect on verification, the admission of my ward may be cancelled.

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Phone : 0124-4171900 | Email: info@lis.ac.in | Website: www.lis.ac.in

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