Entrance Application Form - Akanksha Residential School

Entrance Examination Application Form 2026-27

Important: This institute is exclusively for students from the Janjgir-Champa district. Students from other areas should not apply.

Personal Details

Academic Details

Documents Upload

Review & Submit

Personal Details

Applying for Class / कक्षा के लिए आवेदन *

Please select class.

Stream / विषय *

Please select stream.

Full Name / पूरा नाम *

Please enter a valid name (minimum 3 characters, letters only).

Father's Name / पिता का नाम *

Please enter father's name (minimum 3 characters).

Mother's Name / माता का नाम

Please enter a valid name.

Date of Birth / जन्म तिथि *

Please enter a valid date of birth (age between 13-25 years).

Gender / लिंग *

Please select gender.

Aadhar Number / आधार नंबर *

Please enter a valid 12-digit Aadhar number.

Format: 1234 5678 9012

Category / श्रेणी *

Please select category.

Block / विकासखंड *

Please select block.

Mobile Number / मोबाइल नंबर *

Please enter a valid 10-digit mobile number.

Email Address / ईमेल पता

Please enter a valid email address.

Residential Address / आवासीय पता *

Please enter residential address.

Academic Details

Subjects / विषय (Optional) Enter subjects separated by commas (Optional)

School Name / स्कूल का नाम *

Please enter school name.

School Address / स्कूल का पता *

Please enter school address.

10th Percentage/Grade / 10वीं का प्रतिशत

Please enter a valid percentage (0-100).

10th Passing Year

Please enter a valid year (2010-2026.

12th Percentage/Grade

Please enter a valid percentage (0-100).

12th Passing Year

Please enter a valid year (2010-2026).

Documents Upload

Upload scanned copies of required documents (Size: 50KB - 500KB each, JPG/PNG/PDF)

Passport Size Photograph / पासपोर्ट साइज फोटो *

Click to upload photograph

Recent color photo, white background (50KB - 500KB)

Please upload passport photograph.

Aadhar Card / आधार कार्ड *

Click to upload Aadhar card

Front side copy (50KB - 500KB)

Please upload Aadhar card.

Domicile Certificate / निवास प्रमाण पत्र *

Click to upload domicile certificate

Issued by competent authority (50KB - 500KB)

Please upload domicile certificate.

Caste Certificate / जाति प्रमाण पत्र *

Click to upload caste certificate

Required for OBC/SC/ST only (50KB - 500KB)

Please upload caste certificate.

Income Certificate / आय प्रमाण पत्र *

Click to upload income certificate

Issued in last 6 months (50KB - 500KB)

Please upload income certificate.

Review & Submit

Create Password *

Password must be at least 8 characters with at least one letter and one number.

Confirm Password *

Passwords must match.

Application Summary

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Declaration / घोषणा: I hereby declare that all the information furnished above is true and correct to the best of my knowledge and belief. I understand that any false information may lead to cancellation of my application.
(मैं घोषणा करता/करती हूँ कि ऊपर दी गई सभी जानकारी मेरे सर्वोत्तम ज्ञान और विश्वास के अनुसार सत्य और सही है। मैं समझता/समझती हूँ कि कोई भी गलत जानकारी मेरे आवेदन को रद्द करने का कारण बन सकती है।)

You must agree to the declaration before submitting.

Terms & Conditions / नियम एवं शर्तें:

All documents should be self-attested. / सभी दस्तावेज स्व-प्रमाणित होने चाहिए।
Original documents will be verified at the time of admission. / प्रवेश के समय मूल दस्तावेजों का सत्यापन किया जाएगा।
The institute reserves the right to cancel any application. / संस्थान किसी भी आवेदन को रद्द करने का अधिकार सुरक्षित रखता है।
Keep your registration ID safe for future reference. / भविष्य के संदर्भ के लिए अपनी पंजीकरण आईडी सुरक्षित रखें।

Need help? Contact Support or call +91-9876543210

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