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Latest

Passport size
Photo of
Bharatiya Vidya Bhavan Father,
Self-Attested
Latest (PRE-PRIMARY UNIT)
Passport size Road No. 45 (End), Jubilee Hills, Hyderabad – 500 033
Photo of
Child Latest
Passport size
APPLICATION FORM Photo of
FOR LKG - 2022-23 Mother,
Self-Attested

Admission No: _______________ Regn. No._____________

1. Name of the student (as per the : _______________________________________________________________


Birth Certificate in BLOCK LETTERS)
Date Month Year

2. Date of birth (in figures) :


(in words) : _______________________________________________________________

3. Place of birth : _______________________________________________________________

4. Age at the time of admission : ______ Years ______ Month(s) ______ Days Sex: M F
As on 31st May 2022

5. Family details FATHER MOTHER


(in BLOCK LETTERS)
Name : ______________________________ _______________________________

Qualification(s) : ______________________________ _______________________________

Occupation : ______________________________ _______________________________

Designation : ______________________________ _______________________________

Monthly Income : ______________________________ _______________________________

Office Address : ______________________________ _______________________________

______________________________ _______________________________

Residential Address : ______________________________ _______________________________

Telephone Nos. Office : ______________________________ _______________________________

Residence : ______________________________ _______________________________

Mobile : ______________________________ _______________________________

Nationality : ______________________________ _______________________________

(In case of a child having foreign citizenship, should produce a copy of valid VISA for the period of their study
in the school)

Religion : ______________________________ _______________________________

Contd...2
:2:

6. Community (enclose a certified


/ Xerox copy of the supporting : SC ST BC OC
document)

7. Mother tongue of the pupil : ________________________________

8. I/We, am/are legal guardians of Kum. /Mast : ________________________________

9. Identification Marks : i. _____________________________________________________________

ii. _______________________________________________________
10. Name of the sibling
studying in this school : Name : ______________________ Class: ____________________
(not cousins)
Section : ______________________
11. Name and address of the guardian
and relationship (if the child is not
staying with the parents) : _______________________________________________________________
(Authoization letter from the parent with the photograph of guardian duly pasted on it should be enclosed)

12. The Registration fee of Rs. 500/- is paid herewith

1. I understand that admission is not guaranteed merely on registration of this application and that the school
Management’s decision is final and binding on me.

2. I certify that the information given above is correct. If my ward is admitted into the school, I shall be
responsible for the regular payment of fees and other dues of my ward as per the rules laid down by the
school from time to time.

3. We agree that the school reserves the right to change at any time the structure of fees or any rules and
regulations concerning the school, such changes will be binding on us.

4. Refund of fees paid by the parents will be regulated according to the terms and conditions mentioned in
the prospectus.

5. Any change of address will immediately be notified to the school.

Signature of Mother Signature of Father

Date:

Place: (NAME IN BLOCK LETTERS) (NAME IN BLOCK LETTERS)

_______________________________________________________________________________________________

Note: At the time of registration, date of birth certificate issued by the competent authority to register the
birth Municipality/ Corporation at the place where the child was born should be submitted.
Enclosures:

1. Certified Xerox copy of Date of Birth Certificate.


2. Copy of any valid document indicating the place of residence as given in the application.
3. In case of a child having foreign citizenship, a copy of valid VISA for the period of their study in the school should
be produced.
4. Copy of Bonafide Certificate, in case of sibling students, studying in this school.
5. Copy of Aadhar card of the student.
Verified by
FOR OFFICE USE

Rs.__________ Receipt No. ______________ dated ________________ Regd. No. _______________

Initials of Accounts Department Counter Signature of the


Principal

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