AI TECHNICAL INSTITUTE

GAHMARIYA BAZAR, SIWAN BIHAR

MOB- 6200360484

A

ADMISSION FORM

STUDENT
PHOTO
ADMITTED INTO CLASS :
STUDENT PERSONAL INFORMATION
Student's Name:
Father's Name:
Mother's Name:
Date of Birth :
Gender :
Blood Group :
Nationality :
Religion :
Category :
Address: Village -
Post Office -
Police Station -
District -
State -
Pin Code -
Contact No. :
Email ID :
Aadhaar No. :
Qualification: Father -
Mother -
Occupation: Father -
Mother -
Name of Local Guardian (if any):
Relation with Student:
Contact No. :
DECLARATION BY THE PARENTS
I Mr. / Mrs.

Father/ Mother/ Guardian of confirm that the above information provided by me is correct and to the best of my knowledge and belief. I am also ready to follow up all the rules and regulations of the school.