REGISTRATION CUM ADMISSION FORM

    (Use capital letters only)

    SEEKING ADMISSION IN CLASS (*)
    FOR ACADEMIC YEAR (*)

    PART A

    Particulars of the child
    Name in Full (*)
    Date of Birth (*)
    GENDER (*)
    Attach Child's Latest PP Size Coloured Photo:
    Adhaar Card No. - Student (*):
    Attach Scanned Copy of Adhaar:
    Adhaar Card No. - Father (*):
    Attach Scanned Copy of Adhaar:
    Adhaar Card No. - Mother (*):
    Attach Scanned Copy of Adhaar:
    Birth Certificate No. (*):
    Place of Birth (*):
    Attach Scan Copy of Birth Certificate (*):
    Number of Siblings:
    Name of School:

    PART B

    Mother Tongue:
    Home Town:
    Nationality:
    Special Interest:
    Blood Group:
    Emergency Contact Person Name:
    Emergency Phone Number:
    Social Category:
    Religion:
    Third Language from Class V onwards:
    Marks of third language in previous school & class:
    Disability (Mention type of disability if any):

    PART C

    Previous School Particulars
    Previous school attended, if any:
    Class:
    School is:
    Address of the school:
    Certified photocopy of transfer certificate submitted:
    Obtain Tot. Marks in previous class:
    Obtain Percentage(%) in previous class:
    Obtain Grade in previous class:
    Attendance - No. of days attended school in previous class:

    PART D

    Particulars of Mother / Father / Guardian

    MOTHER













    FATHER













    GUARDIAN













    Permanent Address with Telephone No.: (*)
    Residential Address with Telephone No.: (*)
    Details of any brother or sister studying in the same school:
    S.No.
    Name of the Child
    Age
    Class & Section
    Area in which you can contribute to the enrichment of the school: (Put a ✔ as relevant)
    CulturalAcademicSportsProfessionalHealthMedia

    PART E: WITHDRAWAL POLICY

    PART F: DECLARATION BYPARENTS/GUARDIANS