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NATIONAL PUBLIC SCHOOL, INDIRANAGAR


APPLICATION FOR REGISTRATION
( for L K G )

Class : L K G

Year :2015-16

Name of the pupil ______________________________________


(in block letters with initials)

Male : _____ Female : _______

Date of birth : in figures : _______________________


in words : __________________________________________________________
Place of birth: __________________

Nationality : ______________

Religion : _____________

Mother Tongue: __________________


Sibling studying in NPS INR/RNR/KRM/HSR (Name & Class) : __________________________
Does your child have any disability (Yes / No)
Does your child have any evidence of learning disability (Yes / No)
Fathers Details

Mothers Details

Name

Name

Residential Address :

Residential Address :

Tel (O)
Tel (R)
(Mobile No)
E-Mail ID

Tel (O)
Tel (R)
(Mobile No)
E-Mail ID

Position
Company &
Address

Position
Company &
Address

Annual Income

Annual Income

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Documents required

Copy of birth certificate

If an intimation is not received, it should be presumed that there is no vacancy during the current year and no
separate intimation will be sent.
An annual fee increase of 10 to 15 percent is effective to offset the increasing expenditure by way of salary,
maintenance and material expenditure etc. National Public School is a private self-financing institution.
Incomplete forms will be rejected.

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DECLARATION BY PARENT/GUARDIAN
I have read the rules and regulations of National Public School and I fully agree to abide by them so long as my
child is a student there.

Signature of the Parent/Guardian

FOR OFFICE USE

Admit_________________________________________________ in Class_____________________

Place : Bangalore
Date :

PRINCIPAL

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