Admission

Admission No. Registration No
Class in which Admitted. Date of Admission

PARTICULARS OF THE STUDENTS
Name of the Student Subjects:
Subjects Optional Subjects:
Father's Name Mother's Name
Date of Birth(In words) (in figures)
Gender Male Female
Monthly Income of Father
Profession of Father
If father is not alive name of the legal guardian
Qualification of Father Qualification of Mother
Father's Annual Income Mother's Income
Name of the previous Institute
Do you belong to SC/BC Nationality
In which game you are interested
Any relation studying in school ? Name If yes mention Class
Permanent Home Address

WANT SCHOOL TRANSPORT / CATERING FOR YOUR WARD CLICK HERE

SCHOOL TRANSPORT / CATERING DONT WANT CLICK HERE
My Child of Grade
Section
will be availing of the following facilities
  1. Transport (Yes/No)
    • Landmark
    • Pickup Point
    • Any other Instruction
  2. Catering (Yes/No)
    • School transport/catering fees are fixed. One way travel are also subject to the full fee.
    • Transport facilities are available only from designated points.
    • These services are available on a first come first served basis.
    • To whom we handover the child. Parents/Guardian
    • Parents wishing to withdraw their children from school transport / catering arrangements must fill in a discontiuation form a month in advance or they can send their request.
    • I am agreed if Diesel price will hike I will pay the increase transportation charges to the school authorities.

CHILD HISTORY OF ILLNESS
Weight Height Blood Group
kg cm
Please tick:
I give the consent for the immunization of my child
I do not agree for the immunization of my child
Please provide the following information to update your child's school Health Record and send his
ORIGINAL IMMUNIZATION CARD
Please tick appropriately:
INFECTIOUS DISEASES NON INFECTIOUS DISEASES
Diphtheria Measles Accidents Epilepsy
Dysentery Mumps Allergies Asthama
Please specify months / years of illness:
History of:
Blood Transfusion Frequency
Hospitalization Reason Date
       
Number of Visitor: