APPLICATION FORM FOR REGISTRATION _Appiicasion No, N.K. BAGRODIA PUBLIC SCHOOL fn Sector-IV, Dwarka, New Delhi-110 078 (Recognised) atest atest atest (be ted aby the offce) Stamp Size Stamp Size Stamp Size Photoraph Photoraph Photoraph Regd. No, & Dats ofthe MOTHER Admission No 3 Admits to Class SF | SESSION ...essecsessesseesesseeeee This is to request you to kindly register my son/daughter .. 1. Name of the child : for class... ast) (in capita eters) irs) 2. Date of Birth : (a) in figures Date Month Year (b) in words «02 (©) Age as on Ist April Years Months Days (€) Position of the pupil in the family Ist 2nd 3rd tH sa 3. Nationality oeanen 4, Languages spoken at home : Ist IN veesernerrtneteereetee 5. Religion 6. Mother Tongue : 7. SCHIST*/OBC*K 8. Whether EWS**: Yes/No 9. Identification Marks... 10. Residential Addres: 11, Permanent Address ¢ 0. 12. Name and Address of the School last attended .. 13. Physical abnormality, if any (specify clearly)...... 14, Family Information : Father Mother Name Educational Qualification Occupation Govt. Service/Private Service/ Professional/Business/Educationist/ House wife or any other Annual Income Designation Name of Organisation Activity of Organisation Office Address. Phone Number(s) Fax Number Mobile No. E-mail ID15, Specimen signature of the Father/Mother/Guardian which should be accepted by the school authorities Specimen signature Name and relationship with the child 16, Particulars of real brother(s)/sister(s) of the child, if studying in N-K. Bagrodia Public School, Sector-4 Dwarka. 1 Class & Sec ... Admn. No. 2. Class & See... Admn. No. 3 Class & Sec Admn. No. 17. Require School Bus : Yes/No Locality 18. Responsible for the child : Mother / Father / Both / Guardian M F B G If Guardian, please specify relationship with the child Reasons. INFORMATION For Class Pre-School should the child should be 3+ years as on Ist April of the year admission is applied. Submission of application does not guarantee admission, which will depend on the availability of seats. Other things being equal, preference will be given to those residing in the neighbourhood. Incomplete/Invalid forms will be rejected. wenn School buses are plying on specified routes and have limited seats. Admission will not automatically ensure seat in the school bus. 6. For admission to Class Pre-School one photograph of Father, one of mother & one of the child separately along with the original date of birth certificate of the child ( issued by MCD or any other State Govt.) is required to be submitted at the time of admission For admission to Classes Pre-Primary onwards, Transfer Certificate from a recognized school is also required to be attached. 7. Atany stage, if it comes to the notice of the school authorities that the information of the child is incorrect or has been suppressed then their application/addmission can be rejected/cancelled. 8. Voter Identity Card/Ration Card will be treated as a proof of residene: * Attach certificate (Photocopy) in support of Disadvantaged Group (SC/ST/OBC/Orphan) **Attach income proof (Photocopy) in support of EWS category. Undertaking : 1 do understand that programming and philosophy of Education of the School is to lay great deal of stress on sports and games, hikes and excursions, swimming and other curricular activities which involve some amount of risk. I/We, as a parent will fully co-operate with the school in this direction. L/we further undertake to abide by the School rules. hve understand that the School Management reserves the right to change rules without any notice. I/we certify that, I am/we are the father/mother/guardian of the child and the information furnished above is correct to the best of my/our knowledge and I/we have carefully read the information given overleaf. Signature of Father Mother Guardian ‘Name of Father .. Mother .. Guardian . Date oo. Pla