Integrated Form

INTEGRATED PATASALAS OF KANCHI KAMAKOTI PEETAM

ACADEMIC YEAR 2023-2024

System of Education

VEDIC PATASALA SRI KAMAKOTI NADASWARA PATASALA

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 :

Brothers :

Sisters :

Previous School Student Id :

Caste :

Community :

Parents Information (Only Parents information and not guardian information)

Father Name (As in Aadhar):

Father Aadhar #:

Father Occupation:

Father Gothram:

Father Mobile Number:

Father Whatsapp No:

Father Email :

Father Name (as in Bank Account) :

Father Account Number :

Bank Name :

Father IFSC :

Mother Name (As in Aadhar):

Mother Aadhar #:

Mother Occupation:

Mother Gothram (Maternal):

Mother Mobile Number:

Mother Whatsapp No:

Mother Email :

Mother Name (as in Bank Account) :

Mother Account Number :

Bank Name :

Mother IFSC :

Guardian Details (Optional)

Guardian Name (As in Aadhar):

Guardian Aadhar #:

Guardian Occupation:

Guardian Gothram:

Guardian Mobile Number:

Guardian Whatsapp No:

Guardian Email :

Guardian Name (as in Bank Account) :

Guardian Account Number :

Bank Name :

Guardian 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 patasala?

Any relative studying in patasala/ If Yes,Mention Name, Class and Patasala

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 patasala till completion of graduation.

I Agree to the Rules and Regulations (Click here)

Parent Consent

Student Consent