Satyam Children Academy
Satyam Children Academy
Registration Form - 2024-25
: Shahid Gaon, Chandauli
: 9918634100
: satyamchildren02@gmail.com
Note: All '
*
' marked fields are mandatory. Please mention '
NA
' if not applicable.
Student Details
First Name
*
Enter First Name
Middle Name
Last Name
Gender
*
Select Gender
--Select--
Male
Female
Transgender
DOB(dd/mm/yyyy)
*
Enter DOB
Class
*
Select class
-- Select Class --
LKG
UKG
I
II
III
IV
V
VI
VII
VIII
IX
X
XI
NUR
XII
Category
--Select--
EWS
GENERAL
OBC
SC/ST
STAFF
Religion
--Select--
Hindu
Muslim
Sikh
Isai
Nationality
--Select--
AFGHAN
ALBANIAN
ALGERIAN
ANDORRAN
ANGOLAN
ARGENTINIAN
ARMENIAN
AUSTRALIAN
AUSTRIAN
AZERBAIJANI
BAHAMIAN
BAHRAINI
BANGLADESHI
BARBADIAN
BELARUSIAN
BELGIAN
BELIZEAN
BENINESE
BHUTANESE
BOLIVIAN
BOSNIAN
BOTSWANAN
BRAZILIAN
BRITISH
BRUNEIAN
BULGARIAN
BURKINESE
BURMESE
BURUNDIAN
CAMBODIAN
CAMEROONIAN
CANADIAN
CAPEVERDEAN
CHADIAN
CHILEAN
CHILEAN
COLOMBIAN
CONGOLESE
COSTARICAN
CROATIAN
CUBAN
CYPRIOT
CZECH
DANISH
DJIBOUTIAN
DOMINICAN
DOMINICAN
ECUADOREAN
EGYPTIAN
SALVADOREAN
ENGLISH
ERITREAN
ESTONIAN
ETHIOPIAN
FIJIAN
FIJIAN
FRENCH
GABONESE
GAMBIAN
GEORGIAN
GERMAN
GHANAIAN
GREEK
GRENADIAN
GUATEMALAN
GUINEAN
GUYANESE
HAITIAN
HONDURAN
HUNGARIAN
ICELANDIC
INDIAN
INDONESIAN
IRANIAN
IRAQI
IRISH
ITALIAN
JAMAICAN
JAPANESE
JORDANIAN
KAZAKH
KENYAN
KUWAITI
LAOTIAN
LATVIAN
LEBANESE
LIBERIAN
LIBYAN
LITHUANIAN
MACEDONIAN
MADAGASCAN
MALAWIAN
MALAYSIAN
MALDIVIAN
MALIAN
MALTESE
MAURITANIAN
MAURITIAN
MEXICAN
MOLDOVAN
MONACAN
MONGOLIAN
MONTENEGRIN
MOROCCAN
MOZAMBICAN
NAMIBIAN
NEPALESE
DUTCH
NEWZEALAND
NICARAGUAN
NIGERIEN
NIGERIAN
NORTHKOREAN
NORWEGIAN
OMANI
PAKISTANI
PANAMANIAN
GUINEAN
PARAGUAYAN
PERUVIAN
PHILIPPINE
POLISH
PORTUGUESE
QATARI
ROMANIAN
RUSSIAN
RWANDAN
SAUDIARABIAN
SCOTTISH
SENEGALESE
SERBIAN
SEYCHELLOIS
SIERRALEONIAN
SINGAPOREAN
SLOVAK
SLOVENIAN
SOMALI
SOUTHAFRICAN
SOUTHKOREAN
SPANISH
SRILANKAN
SUDANESE
SURINAMESE
SWAZI
SWEDISH
SWISS
SYRIAN
TAIWANESE
TAJIK
TANZANIAN
THAI
TOGOLESE
TRINIDADIAN
TOBAGONIAN
TUNISIAN
TURKISH
TURKOMAN
TUVALUAN
UGANDAN
UKRAINIAN
EMIRATES
UK
US
URUGUAYAN
UZBEK
VANUATUAN
VENEZUELAN
VIETNAMESE
WELSH
WESTERNSAMOAN
YEMENI
YUGOSLAV
ZAIREAN
ZAMBIAN
ZIMBABWEAN
AMERICAN
U.S.A.
Blood group
--Select Blood group--
A+
A-
B+
B-
O+
O-
AB+
AB-
Email
Ex.:abc@xyz.com
Mobile No.
*
Mobile No.
Enter Correct Mobile No.
Whatsapp No.
Enter Correct Whatsapp No.
Current School Name
Board Name
Adhaar No.
PEN (Permanent Education Number)
Local Address
Address
*
Enter Residential Address
State
*
Enter State
City
*
Enter City
Pin Code
*
Enter Pin
Permanent Address
Same as Local Address
Address
*
Enter Residential Address
State
*
Enter State
City
*
Enter City
Pin Code
*
Enter Pin
Father's Details
Father Name
*
Enter Father Name
Qualification
Occupation
Organization
Designation
Annual Income
Phone (Office)
Address (Office)
Email Id
Ex.:abc@xyz.com
Mobile No.
*
Enter Mobile No.
Enter Correct Mobile No.
Mother's Details
Mother Name
*
Enter Mother Name
Qualification
Occupation
Organization
Designation
Annual Income
Phone (Office)
Address (Office)
Email Id
Ex.:abc@xyz.com
Mobile No.
Enter Correct Mobile No.
Documents
("Upload Image in JPG Format Only")
Student's Photo
Size should be passport size
Father's Photo
Size should be passport size
Mother's Photo
Size should be passport size
Adhaar Card
Transfer Certificate
Sibling Details
Sibling (Real Brother/ Sister) only studying in
Same School
×
Provide Details
Registration Code
Enter Registration No
Receipt No
Enter Receipt No