Applicant's Name (Child)
Date of Birth

Whether Belongs to General/ OBC/ SC / ST Category?
Whether Belongs to Divyang Category?
Parent/Guardian Name
Correspondence Address
Permanent AddressSame as Correspondence address
Monthly Income ( Parents)
Mob. Number

During summer session of May-June separate Integrated Activity will be conducted for children between 5-10 years. 2 activities chosen will be continued after summer only.

Activities for boys between the ages of 13 to 16 years willl be from 2 Pm to 5 Pm

Please ensure that 2 different activities are selected below.

A bus service is available to pickup and drop off children for 1 month during the Summer Fiesta

Girls between the ages of 5 to 16 years and boys between the ages of 5 to 13 years can avail the bus service.

Will the child be availing bus service?)(Cost Rs 800)
Please ensure that the size of the image file and birth certificate file do not exceed 3 MB each.
Upload Photo Of Child
Upload Birth Certificate