Integrated Form

INTEGRATED PATASALAS OF KANCHI KAMAKOTI PEETAM

ACADEMIC YEAR 2024-2025

System of Education

VEDIC PATASALA

School Applying For :

Center Applying For :

Class Applying For :

Student Information

Have you applied previously? If Yes, Specify when Yes No

Aadhar Number :

Student Name (as in Aadhar Card) :

Student Name (as in Birth Certificate) :

Birth Date :

Blood Group :

Birth Month :

Nakshatram :

Zodiac Sign :

Mother tongue :

Native Place :

Vedam :

Brothers :

Sisters :

Previous School Student Id :

Sootram :

Shaka :

Caste :

Community :

Parents / Guardian Information

Father Guardian 1

Name (As in Aadhar):

Aadhar #:

Occupation:

Gotram:

Mobile Number:

Whatsapp No:

Email :

Name (as in Bank Account) :

Account Number :

Bank Name :

IFSC :

Mother Guardian 2

Name (As in Aadhar):

Aadhar #:

Occupation:

Gotram (Before Marriage):

Mobile Number:

Whatsapp No:

Email :

Name (as in Bank Account) :

Account Number :

Bank Name :

IFSC :

Address Information

Present Address (as per Aadhar)

Address Line 1:

Address Line 2:

City:

State:

Pin Code:

Permanent Address (Same as Present Address )

Address Line 1:

Address Line 2:

City:

State:

Pin Code:

Other Information

How did you came to know about the Pathasala?

Any Sibling studying in Pathasala/ If Yes, Mention Name, Class, Branch and Pathasala

Any further information you wish to furnish

Rules & Regulations

I hereby declare that all the entries are correct to the best of my knowledge and belief. As a Parent/Guardian, I shall abide by the rules & regulations of the School. My ward will follow the rules of discipline of the school. I also agree to continue in Pathasala till completion of graduation.

I Agree to the Rules and Regulations (Click here)

Parent Consent

Student Consent

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Tamil

English

Telugu