Muhimmath Residential School For Boys

Name of the Pupil with Initial *

Date of birth *

Day *

Month *

Year *

Age *0 / 2

Mother's Name *

Father's Name *

Guardian's Name *

Occupation *

Relation of Guardian *

Email Address

Mob No 1 *

Mob No 2 *

Mob No 3

House Name *

Place *

House No *

Ward No *

Panchayat *

Village *

Post *

Via *

District *

State *

Pincode *

Vaccinated *

Annual Income *

Mother Tongue *

Aadhaar Card No *0 / 12

Previously Attended School Name & Standard *

Class intended to be admitted ? *

Class intended to be admitted ?

Identification Mark's

Medium *

Relation of the Guardian With Sunni Organisation *

Wether Studied in Recognised Madrasa *

If Yes

SKSVBSKIMVB

Previously Attended Madrasa Name & Standard *

Taking any Medications *

If any Explain

Stay Own *

Did you stay at any other hostel before *

If Yes Name the Institution

Photo *

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Aadhaar Card *

Birth Certificate *

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Other

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Muhimmath Residential School for Boys

Application for admission

If Yes