KHADIJATUL KUBRA GIRLS' MISSION (H.S)
Admission Form
Student Details
Registration No
Name *
Admission *
New-Admission
Re-Admission
Gender *
Male
Female
Blood Group
- Please Select -
O +
O -
A +
A -
B +
B -
AB +
AB -
Date Of Birth *
Previous Class
Admission In Class *
- Please Select -
V
VI
VII
VIII
IX
X
XI (NON-LAB)
XI (LAB)
XII (LAB)
XII (NON-LAB)
Any Disability
Orphan / Non-Orphan *
- Please Select -
Orphan
Non-Orphan
Aadhaar Card No
Aadhaar Card
jpg / png (Less than 50KB)
Hostel Facility *
Yes
No
Student Photo Upload
jpg / png (Less than 50KB)
Any Illness
- Please Select -
Opthalmic Problems
Dental Problems
Orthopaedic Problems
Respiratory Problems
Skin Problems
Epileptic Problems
Metobolism (Obesity etc.)
Heart Problems
Parent Details
Father's Name *
Father's Photo
jpg / png (Less than 50KB)
Father's Ocupation
Father's Mobile No (Whatsapp No)
Mother's Name *
Mother's Photo
jpg / png (Less than 50KB)
Mother's Ocupation
Mother's Mobile No
Guardian's Name
Guardian's Photo
jpg / png (Less than 50KB)
Relation With Guardian
Father Qualification
Mother Qualification
Annual Income
Contact Details
Mobile No *
Email
Village / Locality *
Block / Municipality *
District *
Post Office *
Police Station *
City *
Panchayat
Pin Code *
State *
--Please select--
Andhra Pradesh
Andaman and Nicobar Islands
Arunachal Pradesh
Assam
Bihar
Chhattisgarh
Chandigarh
Delhi
Dadra and Nagar Haveli
Daman and Diu
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu & Kashmir
Jharkhand
Karnataka
Kerala
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Punjab
Puducherry
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
Date Of Admission Test
Date Of Admission Test
- Please Select Date -
26-10-2025 (11 AM)
09-11-2025 (11 AM)
14-12-2025 (11 AM)
SUBMIT