Om Kothari Online Admission

Student Name*

Please enter student name.

Mother Name*

Please enter mother name.

Father Name*

Please enter father name.

Student's Adhaar No*

Enter 12 digit aadhar number

Date Of Birth*

Enter valid date of birth.

Date Of Birth words

Caste*

Blood Group*

Gender*

Student Mobile No*

Please enter mobile number 10 digit.

Student Email Id*

Permanent Address*

State*

City*

Pin-Code*

Father's Occupation

Mother's Occupation

Father's Mobile No*

Mother's Mobile No

Annual Income*

Single Girl Child

Local Gauardian Name

Contact No

Local Address

Upload Photo

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Optional Subject 1

Optional Subject 2

Optional Subject 3

Optional Subject 4

Optional Subject 5

Optional Subject 6

Class 10^th Roll No*

Class 10^th Percentage

School/Institute Name (Last Class Passed)

Class

Grade / Percentage

Affiliated To

Fee Payment Details

Declaration: I hereby declare that the details produced by me are true. if found false/incorrect, i will be fully responsible about the effects occured.You will get provisional admission will get confirmed after verificatio of original document. So please submit the originals at the institute office

Admission Form