Name Regn. No.

Date

Name

Fathers Name Photo

Qualification

Mothers Name

Qualification

Contact Number

Alternate Contact Number

Residential Address Permanent Address

School Name & Address

for office use

Advance Paid

Date of Registration

Registration Number

Remarks
 General Instructions
1. Non-Refundable Advance fee of Rs 250/- & tuition fee of Rs 800/-
should be paid at the time of admission
2. Tuition fee of Rs 800/- should be paid on or before the 8th of every
month
3. Prior information should be given if the student will be on leave
4. Any changes in class timings will be conveyed to the
parent/student in advance

Declaration
All the information provided by me is correct and to the best of my
knowledge. I have enquired every thing before taking admission to
the tuition and will not hold the teacher responsible for any
differences arising later due to lack of my knowledge. I will take
care that my child is regular in classes and will proactively look for
feedback and attendance of my child.

Date: Signature of the Parent

Place:
Details of Fee Collected

Month Fees Sign Month Fees Sign