REGISTRATION FORM FOR ADMISSION 2021-22

Class to which admission is sought:

file size <500 kb

STUDENT PROFILE

Name:(should be as per the Birth Certificate):*
Upload self attested copy of Birth Certificate &
Vaccination details &
Transfer Certificate(file size <1 mb ):
*
Sex: *
Male Female
Date of Birth:*
Age between 3 1/2 year and 4 1/2 year as on 1st june of the year of admission to LKG
    Date of Birth In words:
Nationality:*
Religion:*
Caste/Community:*
Category (General/SC/ST/OBC/OEC/Others):*
Aadhaar No:
  file size <500 kb

School previously attended*

School Name:
City/Country:
Achievements (if any) :
Is there evidence of any learning disability?*
Yes No
Any medical/physical problem that could affect normal school life?*
Yes No
Family Doctor/hospital:
Blood Group:*

FAMILY PROFILE

Father* Mother* Guardian
Name
Nationality
Edu. Qualification
Occupation
Office Address
Annual Income
Mobile No.
Email Id
SMS Receiving Indian Mobile No.
PRESENT ADDRESS* PERMANENT ADDRESS*
Address:
Place:
Post Office:
Pin code:
Telephone No:
Address:
Place:
Post Office:
Pin code:
Telephone No:
Same as present address
Names of brothers and sisters if any
studying in this school
Class
1.
2.
Boarding Point (if school bus facility is required):

Details of Registration Fee paid:

DD No.:*
DD Date:*
Bank Name:*

I * solemnly declare that the above particulars about my child are true to the best of my knowledge and correct. I shall abide by the rules and regulations of the school and agree that I shall remit the fees in time.