Welcome to Nai Mouza Subhania High Madrasah (H.S.)

Student Application Form for Admission in Class V to IX Session: 2026

Print Your Applied form

Date:

Banglar Shiksha ID:

Student ID is not numeric. Student ID is required.

Student Name:

Student Name is required.

Date of Birth:

Student Date of Birth is required. Please enter a valid date of birth within the allowed range.

Birth Certificate Regn No:

Student Date of Birth is required.

Birth Certificate Registration Date:

Student Date of Birth is required.

Gender:

Gender is required.

Student Aadhar No:

Student Aadhar No. is not numeric Student Aadhar No. is required.

Religion:

Religion is required.

Category:

Caste is required.

Nationality:

Blood Group:

Class Applied For:

Caste is required.

BPL Status:

Yes

BPL Status is required.

If Yes, Details:

BPL No. is required.

Disability:

Yes

Disability status is required.

If Yes, Disability Details:

Disability details are required.

Address-

Para:

Para is required.

Village:

Village is required.

Post:

Post Office is required.

Panchayet:

Panchayet is required.

P.S.:

Police Station is required.

Block:

Block Name is required.

District:

District Name is required.

PIN Code:

PIN Code is required.

State:

State is required.

Previous School Details -

Last Attended School:

Name of Previous School is required.

School Address:

Last School Address is required.

Last Class Passed:

Last Class Passed required.

Result / Grade:

Parent / Guardian Information -

Father Name

Father Name is required.

Father’s Aadhaar No.

Fathers aadhar card no is required.

Mother Name

Mother Name is required.

Mother’s Aadhaar No.

Mothers aadhar card no is required.

Guardian’s Name:

Guardian Name is required.

Guardian Occupation:

Guardian Occupation is required.

Guardian’s EPIC No.:

Guardian EPIC ID is required.

E-mail:

WhatsApp Mobile 1:

Student WhatsApp Mobile No. is required.

Mobile 2:

Student Mobile No. is required.

Bank Details -

Bank Name:

Bank Name is required.

Branch Name:

Branch Name is required.

IFSC Code:

IFSC Code is required.

Account No:

Account No. is required.

Student Image:

Please choose Student Image

I hereby declare that the particulars given above are verified by me found to be correct. I also assure to abide by the rules and regulations of the Madrasah and the Council if I get chance for admission in your institution .

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+91 94340 57921

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