Once the online application is filled,give the Application reference number to school, pay 500/- Rs fee for prospectus (By cash or DD should be in the favor of Rashtrotthana Parishat Collection Account payable at Dharwad) and more details contact 0836-2485127, 0836-2486406, 9448284617
NOTE:

Kindly use Google Chrome or Mozilla Firefox to fill in the Application Form.
Fields marked with * are mandatory.

Admission for course * Select VI VII VIII IX X	DISE No.	Student ID	Reference Number
Personal Information
Student Name *	Surname	email Id
Gender Male Female
Place of Birth:	Date of Birth * Day 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th 13th 14th 15th 16th 17th 18th 19th 20th 21st 22nd 23rd 24th 25th 26th 27th 28th 29th 30th 31st / Month January February March April May June July August September October November December / Year 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008	Parmanent Address
MobileNo *	Mother Tongue	Student Aadhar Number*
Religion	Caste	Category --Select-- SC ST Cat-1 2A 2B 3A 3B GM
State * Select Andaman and Nicobar Islands Andhra Pradesh Arunachal Pradesh Assam Bihar Chandigarh Chattisgarh Dadra and Nagar Haveli Daman and Diu Delhi Goa Gujarat Haryana Himachal Pradesh Jammu and Kashmir Jharkhand Karnataka Kerala Lakshadweep Madhya Pradesh Maharashtra Manipur Meghalaya Mizoram Nagaland Orissa Pondicherry Punjab Rajasthan Sikkim Tamil Nadu Tripura Uttarakhand Uttaranchal Uttar Pradesh West Bengal	district *	taluk *	City/Village *
Studied Board * Select State - Kannada State - English CBSE ICSE	STS NO*	MEDICAL ISSUES (IF ANY)
Father's Details
Father's Name	Occupation	Father's Income
Qualification	Contact No *	Aadhar Card No.*
Mother's Details
Mother's Name	Mother's Occupation	Mother's Income
Mother's Contact No	Mother'sQualification	Aadhar Card No.*
Correspodence Address
Same as parmanent address
Declaration: I hereby affirm that the particulars given in the Online Application form are true and correct to the best of my knowledge and belief. I agree to abide by the rules and regulations of the institution.