Application for New Admission (STD I - X)

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Imp: All the details of the student should be filled in strictly as per the Birth Certificate only.
Name of the Pupil *
Email *
Sex
Date of Birth (DD-MM-YYYY)
Age (As on June 1st)
Place of Birth
Birth Cert. No.
Birth Cert. Date (DD-MM-YYYY)
Nationality
Mother Tongue
Religion
Caste
Caste if: Scheduled Caste OBC Scheduled Tribe OEC
Father's Name
Qualification
Mobile No.
Occupation with office Address
Mother's Name
Qualification
Mobile No.
Occupation with office Address
Permanent Address & Tel No. (Resi) with STD Code
Present Address & Tel No. (Resi) with STD Code
Details of person to Contact in case of emergency
Name
Relation with the pupil
Tel. No with STD Code
Name
Relation with the pupil
Tel. No with STD Code
Standard to which admission is sought
In Figures
In words
Percentage of marks obtained in the last exam
Name of exam
Languages Known
Blood Group
Hobbies
Date of last vaccination
Per.Identification marks (if any)
Guardian's Details (if applicable)
Name, Address, Mobile, Email & Tel No. (Resi) with STD Code
Occupation with office Address
Pupil's relationship with the Guardian
Whether School Bus conveyance needed (applicable for classes1 to 10 only)
Boarding Point
Details of Siblings Studying in this School
SI No. Name Class Adm.No
1.
2.
3.
Details of Transfer Certificate (T.C.)
T.C. No
Date of Issue
PREVIOUS SCHOOL DETAILS
Name of the School last attended with address Class Year Date of Leaving Reason to Leave
Student Photo * [.jpeg, .png] [Size: 150px * 200px]
I Parent/Guardian of do hereby declare that the particulars entered in this form are true to the best of my knowledge and belief, and also that I have read the rules and regulation of the school and I undertake that my son/daughter will abide by them. I further declare that the date of birth of my son/daughter given above is also correct and in future I will not ask for the correction of the date of birth.
Signature of the Parent/Guardian