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Student Registration

    
Personal Details    
   
Name of the Student  
Class/Division  
Date of Birth  
Age  
Gender   Male Female
Name of School  
Religion  
Caste  
Monthertongue  
Medium of Instruction   Malayalam English Hindi
Address  
Contact Adress
  
Phone Number
 
Email Id
 
Password
  
     
Family History    
     
Name of Father  
Father's Qualification  
Father's Occupation  
Name of Mother  
Mother's Qualification  
Mother's Occupation  
Name of Teacher  
Name of Guardian  
If any relationship with guardian   Not Applicable Relative
Types of Family   Nuclear Single Parent Orphan Joint Family
Number of members in the family  
Economic Status of the Family   High Middle Low
Annual Income  
Child's Position in the family   Only Child Eldest Yongest Middle
Child's Number among the siblings  
Do You Have any Personal Problems   Yes No
Do You Have any Family Problems   Yes No
     
Physical Ability    
     
Height
  
Weight
  
Blood group
 
Do you have any problem with your eye sight
  Yes No
Do you have any problem with your hearing
  Yes No
     
Medical Report    
     
Do you have any serious Illness
   Yes No
   
Sl No
Year
Illness
1
2
3
 
 
 
 
 
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