Vidya Sagar Academy

(An English medium senior secondary school)

Mant Road Raya, Mathura, Cont.: 05663-273094

Admission form

Student Details

Name of Student Enter Student Name

Date of Birth Select D.O.B

Select Gender Select Gender

Nationality Enter Nationality

Class in which admission is saught Enter Class

Name of Previous School (if any)

Parents Details

Father's Name Enter Father's Name

Qualification Father's Qualification

Occupation Father's Occupation

Annual Income Father's Income

Contact Number Father's Number

E-mail Father's E-mail Invalid Email

Mother's Name Enter Mother's Name

Qualification Mother's Qualification

Occupation Mother's Occupation

Annual Income Mother's Income

Contact Number Mother's Number

E-mail Mother's E-mail Invalid Email

Permanent Address Please Enter Permanent Address

Postal Address Please Enter Postal Address

Additional Details

Name of the person who can be called if parents are not avaliable

Person Name Enter Person Name

Relation Enter Relation

Name

Relation

Do you want to avail the facility of school bus for your ward Please Select

If not, mention the mode of conveyance Enter mode of conveyance

I hereby certify that the particulars given above are correct to the best of my knowledge. Iagree to abide by rules and regulations of the school.
please confirm that above information is accurate