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NATIONAL PUBLIC SCHOOL, BANGALORE

(AUTONOMOUS)

Application for Registration only

Name of the Pupil (in block Letters) Place of Birth Nationality Date of birth In figures In words Religion Mother Tongue Gender M F Class: Year:

Does your child have any disability (Yes / No) Any evidence of learning disability (Yes / No) Details of Parents

Sibling (School & class studying in) Mode of transport Private/School bus

Father :
Name Address

Mother :
Name Address

Tel (O) Tel (R) Mobile Fax E-mail Profession Position Company & Address

Tel (O) Tel (R) Mobile Fax E-mail Profession Position Company & Address

Annual Income

Annual Income

Details of previous schooling

Year 2009 - 2010 2010 - 2011 2011 - 2012 FOR OFFICE USE Remarks Class Place: Bangalore Date : School Class Grades/Marks obtained in Final Exam Eng Eng Eng Hindi Hindi Hindi Math Math Math Science Science Science

Principal Copies of marks cards of the last 3 years and the birth certificate should be enclosed. Incomplete forms will be rejected.

Contd

-2Registration for admission does not ensure an admission. Admission is granted on merit and availability of seats. Entrance test for classes I to IX and XI is conducted before granting admission. An annual fee increase of 10 to 15 percent is effective to offset the increasing expenditure by way of salary, maintenance and material expenditure. National Public School is a private self-financing institution. * If an intimation is not received by 5 January 2012, it should be presumed that there is no vacancy during the year and no separate intimation is sent to the candidates not selected.

I have read the rules and regulations of National Public School and I fully agree to abide by them as long as my child is a student there. * applicable only to KG I & Montessori

Signature of the Student

Signature of Father

Signature of Mother

Admission information for Grade XI and XII : Optional Subjects selected

Subjects offered : Language: English Core or English Literature (Compulsory) 2.a. Math, Physics, Chemistry, Biology 2.b. Math, Physics, Chemistry, Biotechnology 2.c. Math, Physics, Chemistry, Computer Science