KMS::Khwajah Model School

Khwaja Model School, Ajmer

Affiliated to C.B.S.E

An English Medium Co-Education Sr. Sec. School
Managed By Khwaja Gharib Nawaz (R.A.), Society Ajmer

Registration Form

Fields marked with (*) are mandatory.

CANDIDATE'S PERSONAL DETAILS

First Name*

Middle Name

Surname

Date Of Birth*

Religion*

Category*

Nationality*

Gender*

MaleFemale

ACADEMIC DETAILS

Class in which admission sought*

PARENT'S DETAILS

Single Parent ?

FATHER'S / GUARDIAN'S DETAILS

First Name*

Middle Name

Surname

Mobile No*

Qualification*

Degree*

Occupation*

Annual Income*

Click on plus sign () to add more award's details or () to remove
(1) Award Type*	Award Name*	Description*
(2) Award Type*	Award Name*	Description*
(3) Award Type*	Award Name*	Description*

MOTHER'S DETAILS

First Name*

Middle Name

Surname

Mobile No

Qualification*

Degree*

Occupation*

Annual Income*

Click on plus sign () to add more award's details or () to remove
(1) Award Type*	Award Name*	Description*
(2) Award Type*	Award Name*	Description*
(3) Award Type*	(3) Award Name*	Description*

CONTACT DETAILS

Permanent Address*

State*

City*

Area*

Landline No

Parent Email

Distance from residence to this school*

SIBLING DETAILS (Only Real Brothers)

Real Brothers Studying In This School

Click on plus sign () to add more brother's details or () to remove
(1) Name*	SR NO.*	Date Of Birth*	Class*
(2) Name*	SR NO.*	Date Of Birth*	Class*
(3) Name*	SR NO.*	Date Of Birth*	Class*

UPLOAD PHOTOS

Student's Photo*

Father/Guardian's Photo*

Mother's Photo*

Student Photo File Size Limit 60 Kb

Father/Guardian's Photo File Size Limit 60 Kb

Mother's Photo File Size Limit 60 Kb

Father/Guardian's Signature*

Father/Guardian's Signature File Size Limit 40 Kb

Kindly fill in the following mandatory fields Close