Mobile No *

Mail Id

Name of the Pupil (Block Letters): *

Gender Male Female

Date of Birth: *

Nationality: *

State: *

District: *

Class Applied For:

Father's Name: *

Father's Occupation: *

Father's Contact Number: *

Father's Office Address: *

Mother's Name: *

Mother's Occupation: *

Reason for leaving previous school: *

Is your own Brother/Sister currently Studying in EGMHSS ?

No Yes