Student Admission Form

स्वा. सावरकर प्रतिष्ठान संचालित

प्रज्ञा प्रबोधिनी प्रशाला व कनिष्ठ महाविद्यालय

११-१२ वी प्रवेश अर्ज - शैक्षणिक वर्ष २०२५-२६

Recommended: Use Google Chrome to fill the form / फॉर्म भरताना Google Chrome ब्राउझर वापरा.

Please enter correct information and upload valid documents / कृपया बरोबर माहिती भरावी आणि वैध कागदपत्रे अपलोड करावीत.

Form No. *

वैयक्तिक तपशील / Personal Information

First Name *

Please enter your first name.

Father's Name *

Please enter your father's name.

Surname *

Please enter your surname.

Mother's Name (As Per Xth Marksheet) *

Please enter your mother's name.

Student Aadhar No. *

Please enter your 12 digit Aadhar number.

Xth School Name *

Please enter your Xth school name.

Xth School UDISE No. *

Please enter your Xth school UDISE number.

Student ID If applicable.

Date of Birth *

Please enter your date of birth.

Place of Birth *

Please enter your place of birth.

Birth Taluka *

Please enter your birth taluka.

Birth District *

Please enter your birth district.

State *

Please enter your state.

Nationality *

Please enter your nationality.

Mother Tongue *

Please enter your mother tongue.

Religion *

Please enter your religion.

Cast (As per school leaving certificate) *

Please enter your cast.

Subcast (As per school leaving certificate) If applicable.

Please enter your subcast.

Student Mobile No. (Whatsapp if available) * Don't include +91 or 91

Please enter your mobile number.

Height (in cm) In centimeters.

Weight (in kg) In kilograms.

Blood Group

Physical Disability (if any) If any.

अकरावी विषय निवडा / Select XIth Subjects

Compulsory Subjects:

English
Physics
Chemistry
Environmental Science
Physical Education

Choose any 3 Optional Subjects:

Optional Subject 1 *

Optional Subject 2 *

Optional Subject 3 *

Select your optional subjects for XIth standard. You must choose exactly 3 optional subjects. Please ensure you do not select both IT and Marathi, or both Geography (English) and Geography (Marathi).

दहावीचे तपशील / Xth Details

Xth Passing Board *

Please select your Xth passing board.

Xth Seat Number *

Please enter your Xth seat number.

Xth Passing Month and Year *

Please enter your Xth passing month and year.

Xth Obtained Marks *

Please enter your Xth obtained marks.

Xth Total Marks *

Please enter your Xth total marks.

Xth Percentage *

Please enter your Xth percentage.

पालकांचे तपशील / Parent's Details

Father's First Name (As per Aadhar) *

Please enter your father's first name.

Father's Middle Name (As per Aadhar) If applicable.

Father's Surname (As per Aadhar) *

Please enter your father's surname.

Parent's Address *

Please enter your parent's address.

Parent's Mobile Number (Whatsapp) * Don't include +91 or 91

Please enter your parent's mobile number.

Father's Education *

Please enter your father's education.

Father's Aadhar No. *

Please enter your father's Aadhar number.

Father's Occupation *

Please enter your father's occupation.

Nationality *

Please enter your nationality.

दस्तऐवज अपलोड / Upload Documents

Student Photo (Passport Size) - (Less than 300KB) *

Leaving Certificate - (Less than 500KB) *

10th Marksheet - (Less than 500KB) *

Caste Certificate - (Less than 500KB) If applicable.

Income Certificate - (Less than 500KB) If applicable.

Instructions:
- Upload a valid document.
- Upload image in JPG or PNG format only.

सूचना:
- वैध दस्तऐवज अपलोड करा.
- केवळ JPG किंवा PNG स्वरूपातील प्रतिमा अपलोड करा.

पेमेंट तपशील / Payment Details

Email / ईमेल: *

Please enter a valid email

Select Payment Type / पेमेंट प्रकार निवडा: *

Instructions:
- Please proceed to make the payment through cash in the account section.
- If you paid a partial payment, you will need to pay the remaining later in the account section.

सूचना:
- कृपया खात्याच्या विभागामध्ये जाऊन रोखीने पेमेंट पूर्ण करा.
- आपण जर अंशतः पेमेंट केले असेल, तर उर्वरित रक्कम नंतर खात्याच्या विभागामध्ये भरावी लागेल.

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