EXTRACT OF ADMISSION REGISTER A.M.U.P.

SCHOOL MANGATTUPULAM

1. Admission No :
2. Name :
3. Name of Parent or guardian and the
relationship of the pupil to the guardian :
4. Occupation of parent or guardian and his
residence :
5. School previously attended and periods
spent in each standard (Date to be specified) :
6. Date of Admission :
7. Date of Birth :
8. Community and Religion :
9. Does the pupil belong to the SC/ST/OBC or is he a
convert from SC/ST :
10. Standard on admission :
11. Standard on leaving :
12. Date of Leaving :
13. No. and date of TC produced on Admission :
14. No. and date of TC granted on Leaving :
15. Reason for Leaving :
16. Date of Vaccination :
17. Remarks :