REGISTRATION FORM

No.

Class to which admission is sought _______________________________________________

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Mother

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Child

Father

INFORMATION ABOUT THE CHILD (Write in Capital Letters)

First Name_____________________________Last Name_____________________________

Date of Birth

Day Month

Year

In Words______________________
_____________________________

Religion_____________________________Nationality________________________________
Address______________________________________________________________________

FAMILY INFORMATION_________________________________________________________
____________________________________________________________________________

Father / Guardian
Name__________________________________Age____________Nationality_____________
Educational Qualification________________________________________________________
Office Address_________________________________________________________________
Organization Working For________________________________________________________
Designation______________________________Tel / Mobile No.________________________
Annual Income____________________________E-Mail________________________________

Mother / Guardian
Name__________________________________Age____________Nationality_____________
Educational Qualification________________________________________________________
Office Address_________________________________________________________________
Organization Working For________________________________________________________
Designation______________________________Tel / Mobile No.________________________
Annual Income____________________________E-Mail________________________________
If parents are divorced & living separately, with whom is the child living____________________
______________________________________________________________________________

Brothers / Sisters
S.No

Name

Class

Age

Institution in which Studying

ACADEMIC BACKGROUND
Last School Attended_____________________________________________________________
No. of Years Attended___________________________________________________________
Any outstanding achievements____________________________________________________
_____________________________________________________________________________
Whether the child will avail bus facility______________________________________________

UNDERTAKING
I hereby certify that the information given in the registration form is complete and
accurate.
I understand that the admission of my ward will be on the basis of merit as per the
availability of seats.
I hereby undertake to submit the School-Leaving Certificate / Date of Birth Certificate of
my ward at the time of admission. Failure to do so will result in cancellation of his / her
admission.
I understand that the registration of my child / ward is no guarantee for admission to the
school.
I have noted the fee structure & hereby agree to abide by the term & conditions.

Signature of Father / Guardian

Signature of Mother / Guardian

Date:

Date:

IMPORTANT NOTE
1. Age eligibility for Pre-Nursery 2 year 6 months & Nursery 3 years 6 month as on March
31, of the preceding year.
2. Form must be submitted by the next day in the office between 10:00am and 1:30pm
along with the following documents.

DOCUMENTS REQUIRED
1. Photocopy of the Birth certificate.
2. Photocopy of previous schools Report card