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Admission is closed for This year!

Application Form for Admission to Class VI (Six) 2025-26

The Eklavya Model Residential School, Nyapin, Kurung Kumey

(Under Ministry of Tribal Affairs, Government of India)

Please complete this form and return it to:
To
Hasna Borah,
Principal
The Eklavya Model Residential School, Nyapin
PO/Block: Nyapin, Pincode: 781118

Email: emrsnyapin@gmail.com
Note: Documents and application incomplete or vague
in any respect will be summarily rejected.

* Marks are compulsory
If you aren’t able to fill the form Online download the Form from here.

Title

Mr Miss

First Name

Family Name

Date of Birth

Age as on 31/03/2025

Months

Days

Gender

Male Female Transgender

Passport size Photo

Aadhar Number

Upload Aadhar Card

Blood Group

Reservation Category

Name of the Tribe

Disability Status

Yes No

Type of Disability

Percentage of Disability

PEN Number

Resident of Block

Taluka

District

Father's Name

Occupation

Phone Number

Mother's Name

Occupation

Phone Number

Guardian's Name

Occupation

Phone Number

Native Language

Class in which the student is studying

Medium of Instruction

Name of the School Attending

Address of the Correspondence along with PIN

Are you a dropout of any EMRS?

Yes No

Name of the EMRS

Year of Drop Out

Reason of Dropping Out of EMRS

Have you ever been rusticated from any School?

Yes No

Name of the School

Year of Rusticating

Reason of Rustication

Declaration

I FATHER / MOTHER / GUARDIAN, HEREBY DECLARE THE INFORMATION PROVIDED BY ME IN THE APPLICATION FORM IN RESPECT OF MY CHILD/WARD IS TRUE TO THE BEST OF MY KNOWLEDGE, BELIEF AND INFORMATION.