Bhorugram, Nangal Bari, Rajgarjh, Churu, Rajasthan
01559-234425,234402
brjd@rediffmail.com
Note: All '
*
' marked fields are mandatory. Please mention '
NA
' if not applicable.
Proceed for Payment If Application form Already Filled.
Sibling Details
Sibling (Real Brother/ Sister) only studying in
BRJD Pubic School - BHORUGRAM
Admission No.
Sibling Name
Sibling Class
Student Details
Student First Name
*
Student Middle Name
Student Last Name
Gender
*
--Select Gender--
Male
Female
Transgender
Date of Birth
*
Admission sought in class
*
--Select Admission Code--
LKG (2022-23)
UKG (2022-23)
I (2022-23)
II (2022-23)
III (2022-23)
IV (2022-23)
V (2022-23)
VI (2022-23)
VII (2022-23)
VIII (2022-23)
IX (2022-23)
X (2022-23)
XI (2022-23)
XII (2022-23)
Category
--Select Category--
EWS
GENERAL
OBC
SC
ST
STAFF
Religion
--Select Religion--
Buddhist
Christian
Hindu
Jainism
Muslim
Others
Sikh
Nationality
--Select Nationality--
Afghan
Albanian
Algerian
American
Andorran
Angolan
Argentinian
Armenian
Australian
Austrian
Azerbaijani
Bahamian
Bahraini
Bangladeshi
Barbadian
Belarusian
Belgian
Belizean
Beninese
Bhutanese
Bolivian
Bosnian
Botswanan
Brazilian
British
Bruneian
Bulgarian
Burkinese
Burmese
Burundian
Cambodian
Cameroonian
Canadian
Capeverdean
Chadian
Chilean
Chinese
Colombian
Congolese
Costarican
Croatian
Cuban
Cypriot
Czech
Danish
Djiboutian
Dominican
Dominican
Dutch
Ecuadorean
Egyptian
Emirates
English
Eritrean
Estonian
Ethiopian
Fijian
Finnish
French
Gabonese
Gambian
Georgian
German
Ghanaian
Greek
Grenadian
Guatemalan
Guinean
Guinean
Guyanese
Haitian
Honduran
Hungarian
Icelandic
Indian
Indonesian
Iranian
Iraqi
Irish
Italian
Jamaican
Japanese
Jordanian
Kazakh
Kenyan
Kuwaiti
Laotian
Latvian
Lebanese
Liberian
Libyan
Lithuanian
Macedonian
Madagascan
Malawian
Malaysian
Maldivian
Malian
Maltese
Mauritanian
Mauritian
Mexican
Moldovan
Monacan
Mongolian
Montenegrin
Moroccan
Mozambican
Namibian
Nepalese
Newzealand
Nicaraguan
Nigerian
Nigerien
Northkorean
Norwegian
Omani
Pakistani
Panamanian
Paraguayan
Peruvian
Philippine
Polish
Portuguese
Qatari
Romanian
Russian
Rwandan
Salvadorean
Saudiarabian
Scottish
Senegalese
Serbian
Seychellois
Sierraleonian
Singaporean
Slovak
Slovenian
Somali
Southafrican
Southkorean
Spanish
Srilankan
Sudanese
Surinamese
Swazi
Swedish
Swiss
Syrian
Taiwanese
Tajik
Tanzanian
Thai
Tobagonian
Togolese
Trinidadian
Tunisian
Turkish
Turkoman
Tuvaluan
U.S.A
Ugandan
UK
Ukrainian
Uruguayan
US
Uzbek
Vanuatuan
Venezuelan
Vietnamese
Welsh
Westernsamoan
Yemeni
Yugoslav
Zairean
Zambian
Zimbabwean
Blood Group
--Select Blood Group--
O-
O+
A+
A-
B-
B+
AB-
AB+
Email
Mobile No.
*
Student Type
*
--Select Student Type--
DAY SCHOLAR
HOSTELER
RTE
Aadhar No.
*
Student's Photo (Max-2 MB)
Permanent Residential Address
H No/VILLAGE/WARD
*
Post
Country
District/City
*
State
*
Pin Code
*
Correspondance Address
(Check this box if Permanent Residential Address & Correspondance Address are same.)
H No/VILLAGE/WARD
Post
Country
District/City
State
Pin Code
Father's Details
Father Name
*
Qualification
--Select Qualification--
High School/10th
Inter/+2
Graduation
Post Graduation
Occupation
--Select Occupation--
Business
Service
Others
TEACHER
FARMING
ARMY
Organization
Designation
Annual Income
*
Phone(Off.)
Address(Off.)
E-mail
Mobile No.
*
Nationality of Father
Pan No.
Father's Photo (Max-2 MB)
Mother's Details
Mother Name
*
Qualification
--Select Qualification--
High School/10th
Inter/+2
Graduation
Post Graduation
Occupation
--Select Occupation--
Business
Service
Others
TEACHER
FARMING
ARMY
HOUSE WIFE
Organization
Designation
Annual Income
Phone(Off.)
Address(Off.)
E-mail
Mobile No.
*
Nationality of Mother
Pan No.
Mother's Photo (Max-2 MB)
Local Guardian Details
Guardian Name
Guardian Address
Additional Detail's
Last Class
*
Last School Name
*
Whether the last School was CBSE affiliated?
*
--Select--
Yes
No
Specify Name of the board.
*
Marks Obtained
*
Total Marks
*
Percentage
*
Subject proposed to offer :
1.
2.
3.
4.
5.
6.
TC No
TC Date