Admission Form ADMISSION FORM * To be filled in by the Parents/Guardian [in BLOCK CAPITAL Letters] Child's Information - 1. Name of Child's: Forename Surname 2. Other name 3. Gender: Select Male Female Weight Height 4. DOB: Age: Place of birth: 5. DOB [in words]: 6. Birth certificate from municipality/panchayat/hospital: [please attach attested photo copy] 7. Admission sought in class whether single child: YES/NO 8. Religion: Caste: Category: General ST SC OBC 9. Name of the last school attended: [attach original Transfer Certificate] 10. Medium of instruction in last school 11. Last exam passed: Class Year Percentage 12. Reason for leaving previous school: 13. Mobile No. 1- Mobile No. 2- 14. Full residential address: 15. Email of Parents/Guardian: 16. Name of the Father- Forename: Surname: 17. Qualification: Occupation/Designation: 18. Monthly Income: Organization where working: 19. Samagra ID No. Aadhar Card No. 20. Bank name: IFSC Code: 21. Bank A/C Number: Does your child suffer from any disability as to vision, hearing, walking/diseases etc. If yes, please state clearly the disability Do you want to admit any other children in the same school ? YES/NO 1. Name Class Age 2. Name Class Age If Transport required yes/no: Bus Stop: Place: Distance[k.m/m]: Declaration I have read the school prospectus and agree to abide by the school rules. Date: Child's Photograph [passport size] Both Parents Photograph [passport size] Signature of Parents/Guardian