STUDENT REGISTRATION FORM

Name
Date of Birth  
Studying in Class
School/College Name
School/College Address
Coaching Name
Tick Approrpriately Handicap    Woman    B.P.L    Widow    Rural    Others
Gautra

 

Academic Details :

Class Roll No. Maximum Marks Marks Obtained Percentage Year of Passing Name of School/College

 

Family Members Details :

Name Relation with Applicant Qualification Occupation Details Annual Income

 

Family Annual Income (in digits)
Family Annual Income (in words)
Current Address where Applicant is studying
Permanent Address
Mobile No.
Name of Person motivated you to join VaishnavSamiti
Contact Numbre of Person motivated you to join VaishnavSamiti

Kishan Lal Vaishnav

Organizer

Praful Vaishnav

Coordinator

Shiv Prasad Vaishnav

Coordinator (Teacher)