Online Admission Form

Please Pay Fees Through UPI, UPI No is : 9897455553
Pay Through Bank - A/C Name : Dr.Maria Residential Academy, OBC Bank, Sikandara-Bodla Road, Agra
Please Contact for any Query/Help : 8394993152, 9897455553, 9897821843
Basic Student Information
Student Name
Date of Birth
Place of Birth
Mother Tongue
First Language *
Optional Language
Previous School Name
Class Passed
SLC Attached/will be send by
Class in which admission in sought
Medium
Subject Offered (seprate by comma (,))
Religion
Caste
Category
Father Name
Mother Name
Father Occupation
Monthly Income
Permanent Address
Phone No (Office)
Phone No (Residence)
Upload Marksheet
Upload Photo
For Hosteler's Only
Local Guardian Name
Local Guardian Address
Phone No (Office)
Phone No (Residence)
Boarder No
Dormitory
Health
Upload Fitness Certificate (issued by medical officer)
I can learn horse riding, swimmming, skating, judo karate, gymnastic and all indoor and outdoor game
if not, write No
Declaration
  I have read the rules and regulations of Dr Maria Residential Academy given in the propectus.I hereby, agree to abide by all the regulations in force from time to time.
  I will pay full 12 months fees once admitted whether my child stay in the hostel or not.I will not ask for any compensation if my ward meet with an accident during trainning or during playing.
  Since it is a Charitable institution with no Profit/Loss. Fee will not be refunded once deposited to the institution