Class in which adminssion is sought for:
1-(a) Name of the Child in full (in capital letters)
2-Date of Birth:
Age of the Student as on 31st March:
3-Blood group of the child
4-Do you belong to Gen/SC/ST/OBC/EWS/Disabled/S.G. Child? attach certificate(✔)
5-Details of Parents:
Details of Mother/Father
(i) Name(in capital letters)
(ii) Nationality & Occupation
(iii) Name of Office & Full Address
with Telephone No.
(iv) Full residential address with tele.no.
(v) Permanent Address
(vi) Annual Income in (₹)
6- Name & Address of local guardian (in any)
7- Name & Address of the School last attended in Class
8- Whether the transfer certificate is attached Yes/No: Date of t.c
9- Mother Tongue:
I hereby declare that the above information furnished by me is correct to the best of my knowledge &
Signature of Parents
For the Office Use Only
1.Certified that I have checked the application form and relevant papers are found in order.
2- Please admit to Class
after checking the relevant papers and realise the dues.
Admitted to class
Fee Receipt No.
Details of amount received:
Any other Fee
Name has been entered in the Class Attendance Register:(✔)
Certified that all the entries have been made in the Scholar’s Register and the dues have been
received.Registration No. of the Student in Admission Withdrawal Register is
Admission Considered by the School is in accordance with the provisions of the Board & approved.
Sign.of Principal/Office Seal