STUDENT REGISTRATION FORM (2017-18)
Sibling Detail (only real brother / sister currently studying in this school)
Sibling :
Sibling Name : Sibling Class :
Application Form Information
Admission No. :
Personal Information
Middle Name :
Last Name :
Age as on
Date
:
Aadhar No : Nationality :

Landline No. :
Only Child :
State : Country :

State of Domicile :
Any medical condition
requiring School's special
attention :
Remarks :
School Transport Required :
Bus Stop : Other Stop :
Father's Detail

Middle Name :
Last Name :
Email Id :
Mobile Number :
Landline Number :
Occupation :
Organization :
Office Address :
Qualification : Designation :
Annual Income (In Rupees):
Mother's Detail

Middle Name :
Last Name :
Email Id :
Mobile Number :
Landline Number :
Occupation :
Organization :
Office Address :
Qualification : Designation :
Annual Income (In Rupees):
No. of Son(s) :
No. of Daughter(s) :
Additional Information
Previous Class : Previous School Name :
Board Name : Source of Information :
Last examination result in % age of Marks : Status of previous Year :
 

Following documents are required to submit along with the form:

1.Birth certificate issued by Competent Municipal Department

2.Document for Address proof (Any one of following):

(i)  Voter I­Card

(ii)   Aadhar Card

(iii)   Electricity bill/ MTNL bill/Water bill

(iv)  Passport in the name of the parents or the child

(v)  Rent Agreement

3.  In case of SC/ST/OBC/Other applicants, Caste certificate issued by Deputy Commissioner Office need to be submitted.

4.  In case of child with special needs/disabilities, medical certificate from the Govt. Hospital needs to be submitted.

5.  Hard copy (Print Out) of this form is required to be submitted at the school reception within a week. Timing for submission of the form will be 08:00am to 12:00 noon.

6.  Registration fee of Rs. 25/­ is to be deposited at the school reception along with the form.

7. T.C countersigned by Edu. Officer

Note:- Please Attach a copy of the academic progress Report obtained from the previous school.

 

I............................................................................................  Parent/Guardian of ......................................................................................................... (admission no.).................................................................................... Understand that this is only a provisional stream alloted which will be finalized after the declaration of class X result. 

I,..................................................................................,PARENT/GUARDIAN OF .............................................................., DO HEREBY DECLARE THAT INFORMATION GIVEN ABOVE IS BASED ON FACTS AND AUTHENTIC RECORDS, AND I FULLY UNDERSTAND THAT REGISTRATION /ADMISSION OF MY WARD WILL NOT BE CONSIDERED /WILL BE CANCELLED IF ANY OF THE ABOVE MENTIONED INFORMATION IS FOUND TO BE INCORRECT.

 

SIGNATURE OF FATHER/MOTHER/GUARDIAN