Mothers Academy School

Student's AADHAAR Number *

Student Name *

Father's Name *

Mother's Name *

Date of Birth *

Gender *

Caste Category *

Religion(TC) *

Mother Tongue /मातृभाषा*

Rural/Urban *

Whether belong to BPL *

Disadv. Group / Weaker Section *

Studying in class *

Phone No. (with STD Code) (R)

Mobile No *

E-mail

Parmanent Address *

Class studied previous year

School/Institute/Board

Previous result year

Applicant's Picture

Verification Code