Admission Application 2026-27

Srujana Vidyalaya School

A creative English Medium school · Aguru Kancharam, Rajam, Vizianagaram Dist-532127

Complete this official admission application online. All entries should be in the parent's / student's own handwriting equivalent — please fill carefully. Fields marked * are required.

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Admission Details

Step 1 — Year, class and language choices

For the Academic Year *

Please enter the academic year.

Admission to Class *

Please select the class.

Syllabus

I-Language

II-Language

person

Student Details

Step 2 — Name, gender, date of birth, identification

1. Surname (in block letters as per TC)

Name *

Please enter the student's name.

2. Gender *

Male Female

Please select a gender.

Aadhaar No. (12 digits)

Aadhaar must be exactly 12 digits.

3. Date of Birth *

Please select the date of birth.

4. Father's Full Name (block letters)

5. Mother's Full Name (block letters)

6. Guardian's Name (if applicable)

7. Occupation & Email

Father — Occupation

Father — Email ID

Please enter a valid email address.

Mother — Occupation

Mother — Email ID

Please enter a valid email address.

8. Income per Annum

Father (₹)

Mother (₹)

Guardian (₹)

9. Identification Mark 1

Identification Mark 2

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Native Place & Address

Step 3 — Origin, communication address, classification

10. Native Place

State

District

Place of Birth

11. Address for Communication

Permanent Address *

D.No / Street Name

Village / Town *

Required.

Land Mark

Mandal

District *

Required.

Phone

WhatsApp No.

Local / Guardian Address (if different)

D.No / Street Name

Village / Town

Land Mark

Mandal

District

Phone

WhatsApp No.

12. Nationality, Religion & Mother Tongue

Nationality

Religion

Mother Tongue

13. Reservation Category

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Family & Academic Record

Step 4 — Siblings, activities and previous schooling

14. Siblings studying in other institutions

15. Proficiency in Extra-curricular Activities

16. Previous Academic Record

Class	Syllabus	Medium	School	Place	Grade / %	Result	Health History

18. Details of Previous School

Name of the School last studied

Is the School recognized?

Yes No

Last class — Syllabus

Last class — Medium

Last class — II-Language

grading

Previous Class & Marks

Step 5 — Last class passed and marks secured

17. Previous Class Passed

Class Passed

Division / Grade

Syllabus

Medium

Marks Secured

Progress report / attested copy of final marks list to be enclosed.

	I-Lang	II-Lang	Eng	Maths	Gen. Science	Social	Total	%	Result
Marks / Grade

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Photo & Documents

Step 6 — Passport photo and supporting certificates

info

Upload Instructions

Accepted formats: PDF, JPG, PNG
Applications without relevant certificates may be rejected.
Max file size: 5 MB per document (2 MB for the photo).

Passport-size Photo (recent colour) portrait

Click to upload

JPG or PNG · Max 2 MB

Birth / DOB Certificate (optional) description

Click to upload

PDF, JPG or PNG · Max 5 MB

Previous Marks List / Report (optional) grade

Click to upload

PDF, JPG or PNG · Max 5 MB

Aadhaar / TC / Other Certificate (optional) badge

Click to upload

PDF, JPG or PNG · Max 5 MB

fact_check

Review & Declarations

Step 7 — Confirm details and agree to the rules

I have read and agree to the Code of Conduct, Rules & Fee Procedure of Srujana Vidyalaya School. *

Please read and agree to the rules to proceed.

Declaration by the Student: I promise to honour the code of conduct and the responsibilities of the school. I will never abscond from classes or exams, will not involve directly or indirectly in any activity that may hinder / spoil the respect and reputation of the institution, and accept that the principal's decision shall be final and binding. I have read all points from Serial No. 1 to 16. *

Please acknowledge the student declaration.

Declaration by the Parent / Guardian: I am aware of the rules and regulations of the institution and agree to abide by them. I shall be responsible for the payment of school / exam fees and other charges, and will submit all required certificates within the stipulated time. I undertake responsibility for my ward's general conduct and good behaviour. I declare the statements made in this application are true and correct, and I have read all points from Serial No. 1 to 10. *

Please acknowledge the parent / guardian declaration.

Srujana Vidyalaya School

Application Submitted!

Admission Details

Student Details

Native Place & Address

Family & Academic Record

Previous Class & Marks

Photo & Documents

Review & Declarations