AMS
SIGN IN
Student Registration
Student Registration
Form No
Date
Course
---Select---
BHM
BTHS
BDTHS
BTTM
CERTIFICATE COURSE IN HOSPITALITY SERVICES
+2 SCIENCE
SUMMER COURSE
Session
Branch
---Select---
AMS BARIPADA (ODISHA)
CHANAKYA HIGHER SECONDARY SCHOOL
Student Name
Caste
General
ST
SC
SEBC
OBC
MINORITY
PH
Other
Gender
Male
Female
Payment Mode
Scholarship
Self Payment
Father Name
Mother Name
Date Of Birth(As Per 10th Certificate)
Age(On Date Of Admission)
Years
Months
Days
Regd. Mobile No
Guardian Contact No
Local Guardian Name
Parmanent Address
AT-
PO-
PS-
STATE-
---Select---
JHARKHAND
ODISHA
WEST BENGAL
DISTRICT-
BLOCK-
GP-
PIN-
Religion
Last educational Institude
Blood Group
Student Residence
Hosteler
Non Hosteler
Photo