Student Enrollment Form

Name *

Mother’s Name *

Father’s Name *

Present Address *

Permanent Address *

Email *

Phone number *

Caste Category *

GEN

SC

ST

OBC

Special Category *

Physically Challenge

Outstanding Player

None

Last Examination passed

Last School Attended *

Elective Subjects to be taken *

Physics, Chemistry, Mathematics, Biology

Physics, Chemistry, Mathematics, Computer Science

Compulsory Subjects *

General English and MIL Manipuri

General English and Alternative English

Hostel Facility required *

Yes

No

In order to accommodate students from far flung areas the Academy runs hostels both for girls and boys.

Student Passport Photo *

Drag and drop files here or Browse

(Allow file type JPG, PNG and JPEG only. Image size below 2MB.)

I hereby declare that I shall abide by the rules and regulations of the School. Further, I declare that the statements, information and documents given are true to the best of my knowledge and belief and I shall hold myself responsible for any eventual thereof.