Moreshwar Vidyalaya

Form no:- 089

Shri/Kumari/Smt.

First/ Own Name

Father's / Husband's Name

Mother's/ Maiden Name

Name of Last School

Year

Name of Board

Examination Seat No.

Total Marks Obtained

Percentage of Marks

Date of Birth Year

Date of Birth Month

Date of Birth Day

Place of Birth

State

District

Religion

Caste

Nationality

Gender

Married/Unmarried

Handicapped Yes/No

Name the second langauge offered and write the same.

Name and Address of the Guardian (Mention Relationship)

Permanent Native Place Address

Phone No

Admission Form