please mark ( ) in the appropriate blocks important instruction –

1. the application form should be filled in capital letters.

2. Each block should contain one character only. a caracter denotes
alpabet comma and any other signs.
3. incomplete and unsigned application may not be accepted.

Admission for
Admission year

play group ( ) Nursery ( ) Jr. Kg. ( )

Sr. Kg ( )

Pupil’s Details

(Surname) (First Name)

(Middle Neme)

DATE OF BIRTH / / GENDER - MALE ( )

FEMALE ( )

RELIGION CAST SC/ST/ OBC/ OTHER

HOBBIES

ADDRESS DETAILS

Parents Details

Father

Age Phone NO.

PTO

Parents Details
 Mother (Surname) (First Name)
(Middle Neme)

Age Phone NO.

Name of Brothers/Sisters

Name Birth Date Gender Name of School

Document attach

10 Passport size Photo ( ) Birth Certificate

( )

Aadhar Card ( ) Last Year school

marksheet ( )

DECLARATION

I mr. /Mrs.
.............................................................................
........................................... Do hereby take oath and state on
solemn affirmation the following

1. I agree to abide by the rules of eligibility, conduct and discipline that ave
been laid down.
2. I am solely responsible for writing any incorrect information supplied in the
application form for registration.
3. I will abide by the condition that once fee paid will not be refundable
ujnder any circumstances.
4. I undertake to inform the school changes, in any of the particulars from time
to time.
5. I understand that whatever stated herin above in true and correct to the best
of my knowledge, belief and information.

Place : Yours faithfully

Date : ..../...../........ Signature of

Parent/Guardian