DON BOSCO SCHOOL

PARK CIRCUS, KOLKATA -17 48mm x 36mm

APPLICATION FORM
FOR ADMISSION TO CLASS [____________] (SESSION 2011-2012) Photograph

use gum

1. Applicant's Details :

a) Name : .............................................................................................................................................
First Name Middle Name Sur Name

b) Date of Birth : c) Religion : ...........................

date month year

d) Residential Address ......................................................................................................................

........................................................................................................................

e) City : ............................... f) State : .......................... g) Pin Code : ...........................

h) Residential Phone No. : ...................................... i) Present Class : ..........................................

j) Present School : .............................................................................................................................

k) History of serious illness, major operating, handicap : ...................................................................

..........................................................................................................................................................

2. Mother's Details :

a) Name : ........................................................................ g) Contact No. : ................................

b) Religion : .................................................................... h) Mobile No. : ..................................

c) Qualification : ............................................................. i) E-mail ID : .....................................

d) Occupation : ..............................................................

e) Approx Monthly Income : .........................................................

f) Special Interest Please Specify : .....................................................................................................

Organization Details : (If in Service / Business)

Name : .....................................................................................................................................................

Address : ..................................................................................................................................................

Tel No. : ..............................................

Designation : ........................................
2. Father's Details :

a) Name : ........................................................................ g) Contact No. : ................................

b) Religion : .................................................................... h) Mobile No. : ..................................

c) Qualification : ............................................................. i) E-mail ID : .....................................

d) Occupation : ..............................................................

e) Approx Monthly Income : .........................................................

f) Special Interest Please Specify : .....................................................................................................

4. Other Details :

a) State of Origin : ........................................... d) Second Language

the child will study : ....................................
b) Mother Tongue : ..........................................

c) Parish of Residence
(for Catholics) :

5. Details of Other Children : No. of Children (besides the applicant) __________________

1) a) Name : ................................................ 2) a) Name : ................................................

b) Gender : ............................................. b) Gender : .............................................

c) Age : ................................................... c) Age : ...................................................

d) School : .............................................. d) School : ..............................................

e) Class : ................................................ e) Class : ................................................

Date Signature of Father Signature of Mother