 |
|
| Please register the name of my son/daughter/ward for admission in your school. |
|
| |
|
| 1. |
Admission sought to Class |
........................................ |
Session |
........................................ |
|
| 2. |
Child's Name in Full(Block Letters) |
........................................................................................ |
|
| 3. |
Date of Birth (in words) |
........................................ |
in Figures |
........................................ |
|
| |
Age on Last Birthday |
........................................................................................ |
|
| 4. |
Age on Ist April, 2007 |
............. |
Years |
............. |
Months |
............. |
Days |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 5. |
Nationality of Child |
..................................... |
Religion |
............................................. |
|
| 6. |
Father's Name (Block Letters) |
........................................................................................... |
|
| |
Occupation |
...................................................... |
Designation |
.............................................. |
|
| |
Office Address |
.......................................................................................................................... |
|
| |
Academic Qualification |
................................................................................................................ |
|
| |
Phone (Office) |
......................................... |
Mobile |
................................................................ |
|
| |
Phone (Resi) |
......................................... |
E-Mail |
................................................................ |
|
| 7. |
Mother's Name (Block Letters) |
.......................................................................................... |
|
| |
|
Occupation |
...................................................... |
Designation |
............................................. |
|
| |
|
Office Address |
........................................................................................................................ |
|
| |
|
Academic Qualification |
................................................................................................................ |
|
| |
|
Phone (Office) |
......................................... |
Mobile |
.............................................................. |
|
| |
|
Phone (Resi.) |
......................................... |
E-Mail |
.............................................................. |
|
| 8. |
Guardian's Name(Block Letters) |
.......................................................................................... |
|
| |
|
If Related to Child |
|
Yes |
|
No |
If Yes Give Relation |
...................................................... |
|
| |
|
Occupation |
...................................................... |
Designation |
............................................. |
|
|
|
Office Address |
.................................................................................................................. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| |
|
Academic Qualification |
......................................................................................................... |
|
| |
|
Phone (Office) |
........................................... |
Mobile |
........................................................ |
|
| |
|
Phone (Resi) |
................................... |
E-Mail |
........................................................ |
|
| 9. |
a) Name of Previous School |
................................................................................................. |
|
|
|
b) Class in which studying in the last school |
........................................................................... |
|
|
|
c) Position obtained in the last examination in the previous school |
.................................... |
|
|
|
|
|
|
|
|
|
|
|
Out Of |
....................................... |
in year |
............................................. |
|
|
|
d) Medium of instruction in previous school (English/Hindi) |
................................................................ |
|
|
|
e) Proficiency in games/co-curricular/outstanding achievements (if any) |
.............................. |
|
| |
|
| f) Details of marks obtained in the last annual exam (in %) |
|
|
| |
|
English |
Maths |
Hindi |
Phys. |
Chem.. |
Bio. |
History |
Civics |
Geog. |
Arts |
Any other subject |
| |
|
|
|
|
|
|
|
|
|
|
|
|
| |
|
| |
|
|
| 10. |
What is your child's interest / aptitude/ quality worth mentioning (Be Specific and Brief) |
|
|
|
......................................................................................................................................................... |
|
|
|
|
|
|
|
|
|
|
|
|
|
| |
......................................................................................................................................................... |
|
| 11. |
Whether interested in Day Boarding/ Day Care (8.00 am to 5.30 pm) |
..................................... |
|
| Whether school transport / bus will be required |
.......................................................................... |
|
|
|
|
| |
|
| |
|
|
Signature |
............................................. |
|
|
Date |
......................... |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Name in full (Block Letters) |
|
|
|
Place |
......................... |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
............................................................... |
|
|
Please note : |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Permanent Address |
............................ |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
- No certificate/testimonial are to be submitted along with this form. |
|
|
|
|
............................................................... |
|
|
- This form is only for registration to be considered for admission. |
|
|
|
|
Present Address |
............................ |
|
|
- Separate admission forms will be issued to short listed registrants. |
|
|
|
|
|
|
- . |
|
|
|
|
|
|
|
|
|
|
............................................................... |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
