• Registration for the session
  2021-2022 *
• Class to which admission is sought
  - Select - PREP-I PREP-II PREP-III I STD II STD III STD IV STD V STD VI STD VII STD VIII STD IX STD *

• Student's Details
• Student`s Name
  *
• Date of Birth
  *
• Age as on 1st June 2021
  
• Gender
  - Select - Male Female *
• Contact Person
  - Select - Father Mother *
• Communication Mobile
  *
• Communication Email
  *
• Nationality
  
• Category
  
• Caste
  - Select - General SC ST SCA SCB BCA BCB OBC Minority BC Gen Other Sbc *
• Flat No / House No
  
• Area (Apts/Plot/Sector/Locality)
  
• Aadhaar No (Please put 000000 in case Aadhar Card not available)
  
• Mother tongue
  
• SAT number from previous school
  
• Transportation Required
  - Select - Yes No
• Sibling
  - Select - Yes No *
• Father's Details
• Father`s Name (Please put N/A in case divorced/separated)
  *
• Father`s Qualification
  *
• Date Of Birth
  
• Occupation
  
• Company
  
• Designation
  
• Annual Income
  
• Mobile
  *
• Email
  *
• Office Address
  
• Area (Apts/Plot/Sector/Locality)
  
• City
  
• PinCode
  
• Aadhaar (Please put 000000 in case Aadhar Card not available)
  *
• Mother's Details
• Mother`s Name (Please put N/A in case divorced/separated)
  *
• Mother`s Qualification
  
• Date Of Birth
  
• Occupation
  *
• Company
  
• Designation
  
• Annual Income
  *
• Mobile
  *
• Email
  
• Office Address
  
• Area (Apts/Plot/Sector/Locality)
  
• City
  
• PinCode
  *
• Aadhaar (Please put 000000 in case Aadhar Card not available)
  *
• Sibling Deatils
• Sibling 1: Child Name
  *
• Sibling 1: Class
  *
• Sibling 1: Age
  *
• Sibling 1: Name of the school
  *
• Sibling 2: Student Name
  
• Sibling 2: Class
  
• Sibling 2: Age
  
• Sibling 2: Name of the school
  
• Emergency Details
• Emergency Details 1: Name of the person to be contacted
  
• Emergency Details 1: Contact Mobile Number
  
• Emergency Details 1: Relationship with the child
  
• Emergency Details 2: Name of the person to be contacted
  
• Emergency Details 2: Contact Mobile Number
  
• Emergency Details 2: Relationship with the child
  
• Other Details
• Previous School (if any ) attended
  
• Previous School Dise Code
  
• School transfer certificate submitted in original
  - Select - Yes No
• Student Enrollment Number
  
• Area in which you could contribute to enrich school life in terms of Time,Skill etc.
  - Select - Cultural Medical Media Professional Sports Academics Outdoor Activities Campus

UNDERTAKING BY PARENT

We, declare that the information furnished above is true to the best of my knowledge and belief. We also undertake that in case any of the above furnished information is proved to be incorrect, we shall accept the consequence of it. We also undertake to abide by the rules and regulations of the school and its affiliating authority in letter and spirit.

Place: 

Date:                        Signature of the father             Signature of the Mother          Name of the Guardian
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INDEMNITY BOND

Sri.................................... and Smt.................................. Parent/ Guardian of .......................................... Class.............................. Section........................................ indemnify that, we will not hold the school authority responsible in case of any unexpected incident/ accident while travelling to-and-fro by the school Bus/Vehicle, and also during the journey, while participating in Physical Education activities (Sports/Games), Field Trip/ Study Tour and other exercise organised by the school.
In case any accident takes place during the school activities, our ward can be taken to the nearest hospital by the school authority and we will be contacted simuntaneously.
We hereby state that we have read and understood the conditions of the Indemnity bond and hereby we give our consent and sign it voluntarily.

Place :

Date:                                                                                               Signature of the Parent/Guardian
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MEDICAL CERTIFICATE

This is to certify that Master/Miss................ aged................ Son/Daughter of..............is medically fit to take part in the School activities. He/She has been vaccinated and is not suffering from any severe chronic disease.
Specific ailment/allergies if any................

Blood Group

Place:

Date:                            Seal and Signature of the Medical Officer/ Practioner
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For Office use only
                                                                  ADMISSION ACTION      Admission: Approved/ Not Approved

Admission taken/ confirmed........................... for Grade............................ and fee receipt No. is.........................................

 

Signature Of Accountant                                                              Signature Of Principal
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