CAMBRIDGE PRIMARY SCHOOL

New Friends Colony

Ph. : 26315060, 26318039 website: cambridge-nfc.com
Affix

Registration Form for Pre-school

recent passport
size photo

Applicant's details
Name (In block letters)...............................................................................................
Date

of the child

FOR OFFICE

Year

Month

USE ONLY

Date of Birth

Reg No.

Date of birth in words...................................................................................................................

Year Months

Submitted
on
.................

Days

Age as on 31.03.16

Points

Gender

Male

Is the child your first born?

Yes

No

Does the child suffer from any disability?

Yes

No

Female

If yes, give details .......................................................................................................................

Does the child have any special educational needs?

Yes

No

If yes, give details .......................................................................................................................

Home Address ............................................................................................................................
Locality ......................................................................................................
Phone No. .....................................

City ......................

Distance of school from residence (in km) ..................

Sibling Information

If a sibling is studying in or has passed from Cambridge School, please give details
Branch

Name of sibling

Alumni:

Mother

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

Year ................

Father

Year................

Year of
passing out

None

Mother's details
First Name (in block letters) ............................................................................................
Affix

Maiden Name...................................................................................................................
Place of birth ...................................................................................................................
School .............................................................................................................................
College ...........................................................................................................................

recent passport
size photo
of the mother

Mother Tongue ................................................................................................................

Other languages known ..............................................................................................................
Qualifications .......................................................................

Profession .......................................................

Work organization and address...........................................................................................................................

...................................................................................................Designation..........................................
Mobile No. ........................................................ Email .....................................................................................

Father's details

Affix

Name (in block letters) ..................................................................................................

recent passport

Place of birth ...................................................................................................................

School .............................................................................................................................

size photo
of the father

College ............................................................................................................................
Mother Tongue ................................................................................................................
Other languages known ..............................................................................................................
Qualifications ......................................................................... Profession ...........................................................
Work organization and address...........................................................................................................................
............................................................................................ Designation..........................................................
Mobile No. ........................................................ Email .....................................................................................

Family information
How many children do you have?

Name

Please give details in order of birth.

Date of
Birth

Gender

School/College

Day Care:
Are you interested in the school's day care/creche facility after school hours ?

Class

Yes

No

Attach the following documents (self attested photocopies only)

I.

Birth Certificate of the child

II.

In case of first born child : affidavit

III.

In case of disability/special needs : medical certificates / assessment reports

IV.

Proof of residence in the name of parents or child : passport / ration card / Voter I- card / Aadhar card /
UID card / MTNL bill/ Electricity bill / water bill / Domicile certificate

V.

In case of sibling : latest fee bill / transfer certificate / school leaving certificate

VI.

Proof of employment / office identity card

VII. In case of alumni, parents' school leaving certificate

Undertaking
I/We hereby certify that the above information provided by me is correct. I/We understand that if the information
is found to be incorrect or false, my ward will be automatically debarred from the admission process without any
correspondence in this regard and if admitted, the admission will be cancelled. I/We also understand that the
application/wait list does not guarantee admission to my ward. I/We accept the process of admission undertaken
by the school and will abide by the decision taken by the school authorities.

Signatures of Mother / Father / Guardian

printed in Dec 2015

CAMBRIDGE PRIMARY SCHOOL

New Friends Colony

Receipt cum Submission Slip

Reg. No. ..............................

Date .......................................

With reference to your application for the admission of your son / daughter .................................................................................................
please check the school website on the date specified in the admission schedule
Receipt: Received with thanks `....25/-....... as registration fee for your ward's admission to this institution.

Note:

This amount is not refundable and does not guarantee admission.

This slip will be removed by the school authorities only after the submission of the form and must be retained by the
parents for all reference.

Office Assistant