A test page – Al-Huda Islamic School

Admission Form — Updated (Isolated & Responsive)

Personal Details

Full Name *

Enter full name.

Date of Birth *

Select valid DOB.

Age (calculated)

Father / Guardian Name *

Enter father's/guardian's name.

Father Occupation

Mother's Name

Guardian Relation (if guardian filled)

Gender *

Select gender.

Blood Group

Aadhaar No (12 digits)

Enter 12 digit Aadhaar.

Upload Photo (PNG/JPG, ≤2MB) *

Upload valid photo (≤2MB).

Identity

Category / Caste *

Select category.

Religion *

Select religion.

Nationality *

Select nationality.

Contact & Address

Mobile Number *

Enter 10-digit mobile number.

Emergency Contact (Name, Mobile) *

Provide emergency contact.

Guardian Mobile

Email ID

Enter valid email.

Permanent Address *

Enter permanent address.

Current Address

State *

Enter state.

District *

Enter district.

PIN Code *

Enter 6-digit PIN.

Academic Details

Class for Admission *

Select class.

Previous School / Board

Marks (%) in Last Exam (0-100) *

Enter marks between 0 and 100.

Enter percentage as number; used for records.

Upload TC/Marksheet (PNG/JPG/PDF) — each ≤2MB *

Upload valid documents (each ≤2MB).

Signature (PNG/JPG, ≤2MB)

Any Medical / Special Needs (optional)

Submission Date (Choose) *

Select submission date.

Select the date of form submission (calendar).

I confirm that the information provided is true and complete. If any information is found to be false, the school administration reserves the right to reject the application. *

You must agree to submit.

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