Date.................................... Admission No...................................
1. Name of Applicant
     (Block Letters)
2. Gender :
3. Caste :
4. Name of Father
   Fathers Work Address
   Work Office Ph No
5. Name of Mother
6. Permanent Address
 
7. Address ( For Communication)
 
Phone    Mobile   
8. Emergency Contact  
    Name
    Relation
    Phone No.
    Mobile
9. Date of Birth
10. School Last Attended
11. Examination Passed / Appeared for
     With Whom Student Lives
     Seeking Admission in Class
     Certificates Submitted :
     Student Migrating from School :
Students and Guardians Declarations  
1. I certify that the entries on this form are correct.
2. I also certify that the student mentioned is under my Guardianship will maintain the school rules and regulation failing which will lead the immediate termination of the student.
3. I do will co-operate with the school's decision and will participate where ever necessary.
   
   
Parents Signature  
Admission Fees Receipt No. ......................... Date .................................
(For Office Use)